Provider Demographics
NPI:1649528837
Name:WEAVER, LINDSAY FAITH QUASIUS (MSW)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:FAITH QUASIUS
Last Name:WEAVER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:FAITH
Other - Last Name:QUASIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:4203 WOODCOCK DR
Mailing Address - Street 2:STE 216
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1312
Mailing Address - Country:US
Mailing Address - Phone:210-564-9116
Mailing Address - Fax:210-564-9087
Practice Address - Street 1:1109 E 139TH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3420
Practice Address - Country:US
Practice Address - Phone:813-972-2289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical