Sean Weiss, LCSW, LCADC
Social Worker, Clinical in Marlton, NJ. Individual provider (NPI-1).
NPI number1932822012
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1932822012
- Entity type
- Individual (NPI-1)
- Name
- Sean Weiss
- Credential
- LCSW, LCADC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2022
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44SC06120200 | NJ | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00341900 | NJ |
Practice location
750 Route 73 S Ste 210Marlton, NJ 08053-4133
Phone 856-399-1010
Mailing address
65 Morley BlvdMedford, NJ 08055-9621
Phone 609-385-3422
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