MR. GARY WEIDMAN (NPI# 1750388187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750388187 |
| Entity Type | Individual |
| Full Name | MR. GARY WEIDMAN |
| Credential | LCSW-C |
| Practice Address |
11116 Medical Campus Rd Suite 2989 Hagerstown MD 21742-6710 |
| Practice Telephone | 3017667600 |
| Practice Fax Number | 3017667702 |
| Mailing Telephone | 3017667600 |
| Mailing Fax Number | 3017667702 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11518 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101057323 | 05 | |
| MD | 401662900 | 05 |
| Street Address |
11116 MEDICAL CAMPUS RD SUITE 2989 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279758 | Tina Kushnir | Registered Nurse | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-06-12 |
| 1700413515 | Mchaley Hoffman | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-03-24 |
| 1659902609 | Victoriya Eggen | Physician Assistant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2020-01-29 |
| 1194280032 | Jill N Wilkins | Emergency Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2019-02-05 |
| 1770055956 | Lauren Wilkins | Physical Therapy Assistant | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-12-27 |
| 1598230096 | Judah Labovitz | Nurse Anesthetist, Certified Registered | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-10-10 |
| 1225524036 | Ashley Marie Pondo | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2018-07-04 |
| 1952812760 | Melissa M. Kershner | Nurse Practitioner | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-10-19 |
| 1417476409 | Christella Ajong Mbeboh | Family Medicine | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-09-12 |
| 1558887208 | Elisabeth Abraham | Nurse Anesthetist, Certified Registered | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218735 | Trauma Clinicians, LLC | Social Worker | 22 N Mulberry St Ste 120, Hagerstown, MD 21740-4870 | 2020-02-28 |
| 1013575398 | Victoria Leizer | Social Worker | 5 Public Sq # 428, Hagerstown, MD 21740-5528 | 2019-06-03 |
| 1821561515 | Jennifer Lee Canby | Social Worker | 22 N Mulberry St Ste 14&120, Hagerstown, MD 21740-4870 | 2019-01-06 |
| 1710478144 | Kathryn Jackson | Social Worker | 18331 Wolfpack Way, Hagerstown, MD 21740-3583 | 2018-05-22 |
| 1699281840 | Kenneth Edward Stewart | Social Worker | 13245 Dusty Ln, Hagerstown, MD 21740-7556 | 2017-12-26 |
| 1942650692 | Strong Families Strong People, LLC | Social Worker | 6 Public Sq Ste 100, Hagerstown, MD 21740 | 2016-06-14 |
| 1568817831 | Kristen Vorlaufer | Social Worker | 7 N. Potomac Street Change Health Systems, Hagerstown, MD 21740 | 2016-04-25 |
| 1104298942 | Edward Vanmetre | Social Worker | 44 N. Potomac Street, Suite 103, Hagerstown, MD 21740 | 2015-10-20 |
| 1205239951 | Danielle Mary Penland Raymond | Social Worker | 226 N Potomac St, Hagerstown, MD 21740-3813 | 2014-10-08 |
| 1598003519 | Susan Michelle Fedorko | Social Worker | 11937 Azalea Dr, Hagerstown, MD 21740-2371 | 2013-01-25 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.