Provider Demographics
NPI:1982307260
Name:WEAVER, JAMIE SUE (MSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:SUE
Last Name:WEAVER
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 1:201 N CRAIG ST STE 503
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1516
Mailing Address - Country:US
Mailing Address - Phone:412-684-7016
Mailing Address - Fax:
Practice Address - Street 1:201 N CRAIG ST STE 503
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1516
Practice Address - Country:US
Practice Address - Phone:412-684-7016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker