Provider Demographics
NPI:1952014458
Name:WEAVER, SEBASTIAN (LMSW)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:
Last Name:WEAVER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14333 PHILIPPINE ST APT 708
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6917
Mailing Address - Country:US
Mailing Address - Phone:936-553-2963
Mailing Address - Fax:
Practice Address - Street 1:14333 PHILIPPINE ST APT 708
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6917
Practice Address - Country:US
Practice Address - Phone:936-553-2963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical