NPI 1194026237 · live from the CMS NPI Registry
Gina Marie Abbondante, LCSW
Social Worker, Clinical in Marlton, NJ. National Provider Identifier 1194026237, active.
NPI record
| NPI | 1194026237 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 105 Evesboro Medford Rd, Marlton, NJ 08053 |
| Practice phone | 609-353-5608 |
| Enumerated | November 5, 2010 |
| Last updated | January 14, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 44SL05581400 (NJ) |
| Social Worker, Clinical primary | 1041C0700X | 44SC05618100 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.