Provider Demographics
NPI:1750015319
Name:WEISS, ARTHUR JACOB JR (LCSWC)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:JACOB
Last Name:WEISS
Suffix:JR
Gender:M
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 WOODHEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-1243
Mailing Address - Country:US
Mailing Address - Phone:410-812-0579
Mailing Address - Fax:
Practice Address - Street 1:1029 WOODHEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1243
Practice Address - Country:US
Practice Address - Phone:410-812-0579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD287241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical