Provider Demographics
NPI:1104018431
Name:WEINBERG, LAURIE (MSW)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:WEINBERG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EVERETT DR
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5175 COLD SPRING CREAMERY RD
Practice Address - Street 2:#2
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-6228
Practice Address - Country:US
Practice Address - Phone:215-348-9640
Practice Address - Fax:215-348-7311
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004477001041C0700X
PACW0143491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical