Provider Demographics
NPI:1407352487
Name:WESTON, GABRIELA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:WESTON
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 1:109 MOUNT PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FROSTBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21532-1407
Mailing Address - Country:US
Mailing Address - Phone:301-722-0616
Mailing Address - Fax:301-722-2785
Practice Address - Street 1:323 PACA ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2816
Practice Address - Country:US
Practice Address - Phone:301-268-6536
Practice Address - Fax:301-722-2785
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical