Provider Demographics
NPI:1629696000
Name:WEINBERGER, DEBORAH LAREDO (MSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LAREDO
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 KIMBALL PL
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1145
Mailing Address - Country:US
Mailing Address - Phone:301-466-4513
Mailing Address - Fax:
Practice Address - Street 1:3841 FARRAGUT AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2004
Practice Address - Country:US
Practice Address - Phone:301-949-2098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD109691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical