NPI 1053729632 · live from the CMS NPI Registry
Stacey Abraham, LICSW
Social Worker, Clinical in Washington, DC. National Provider Identifier 1053729632, active.
NPI record
| NPI | 1053729632 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 65 Massachusetts Ave Nw, Washington, DC 20001 |
| Practice phone | 301-262-2270 |
| Mailing address | 2208 Mountain Ave, Scotch Plains, NJ 07076 |
| Enumerated | July 28, 2014 |
| Last updated | July 28, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LC50079488 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.