Healthcare Provider Details

I. General information

NPI: 1407862949
Provider Name (Legal Business Name): VALERIE KAY WEAVER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8370 FOREST OAKS BLVD
SPRING HILL FL
34606-6844
US

IV. Provider business mailing address

493 TIERRA DR
SPRING HILL FL
34609-2122
US

V. Phone/Fax

Practice location:
  • Phone: 352-232-2621
  • Fax:
Mailing address:
  • Phone: 352-232-2621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW3215
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: