LAURA ANN WEIDEMA LCSW
NPI 1063989697
Social Worker - Clinical in Virginia Beach, VA

Q: What is Laura Weidema's NPI number?

The NPI number for Laura Weidema is 1063989697. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Q: What is Laura Weidema's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Laura Weidema was last updated on November 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2018

297 INDEPENDENCE BLVD STE 300, VIRGINIA BEACH, VA 23462(757) 385-0850(757) 463-2136 Get Directions Write a Review

NPPES record last updated: November 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Laura Ann Weidema Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA ANN WEIDEMA LCSW (NPI 1063989697) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904010754) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1063989697

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLAURA ANN WEIDEMACredential: LCSW

Location Address297 INDEPENDENCE BLVD STE 300Virginia Beach, VA 23462-2911

Mailing Address297 Independence Blvd Ste 300Virginia Beach, VA 23462-2911 · (757) 385-0850

Phone(757) 385-0850

Fax(757) 463-2136

Sole ProprietorNo

Enumeration DateNovember 1, 2018

✔ NPI 1063989697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in VA · 0904010754

Definition

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.

297 INDEPENDENCE BLVD STE 300, Virginia Beach, VA 23462

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Other Identifiers 1

Medicaid1861562472VA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN COLON LPC

Counselor (Mental Health)