| Courtney Weaver, LCSW | |
|
43130 Amberwood Plz, Suite 140, South Riding, VA 20152-4105 | |
| (703) 348-0030 | |
| Not Available |
| Full Name | Courtney Weaver |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 43130 Amberwood Plz, South Riding, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376816405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008780 (Virginia) | Primary |
| Entity Name | Lifebulb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20221213000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Weaver, LCSW 43130 Amberwood Plz, Suite 140, South Riding, VA 20152-4105 Ph: (703) 348-0030 | Courtney Weaver, LCSW 43130 Amberwood Plz, Suite 140, South Riding, VA 20152-4105 Ph: (703) 348-0030 |
Brittany Bailey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43130 Amberwood Plz Ste 140, South Riding, VA 20152 Phone: 703-348-0030 Fax: 703-542-7770 | |
Janice Lynne Shubert, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 43130 Amberwood Plz, Suite 140, South Riding, VA 20152 Phone: 703-348-0030 | |
Mr. Damon Marco Saunders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43130 Amberwood Plz, South Riding, VA 20152 Phone: 703-855-1966 | |
Melissa Marie Peters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25152 Elk Lick Rd Ste 220, South Riding, VA 20152 Phone: 703-989-3409 |