Provider Demographics
NPI:1013381946
Name:WEISS, ANNE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10765 SYMPHONY PARK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3485
Mailing Address - Country:US
Mailing Address - Phone:301-442-9294
Mailing Address - Fax:
Practice Address - Street 1:6410 ROCKLEDGE DRIVE
Practice Address - Street 2:SUITE 308
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-245-2601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD081041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical