Gina Roussel Weaver, LMSW
Social Worker, Clinical in Livonia, LA. Individual provider (NPI-1).
NPI number1831835552
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1831835552
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Gina Roussel Weaver
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 5, 2022
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9609 | LA | Yes |
Practice location
8387 Newfield DrLivonia, LA 70755-3605
Phone 225-412-0202 · Fax 225-412-0366
Mailing address
9223 Section RdPort Allen, LA 70767-5116
Phone 225-505-3131
Is something wrong?
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Other Clinical Social Worker providers in Livonia, LA
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