NPI 1235456930 · live from the CMS NPI Registry
Susan C. Abbott, LCSW
Social Worker, Clinical in Oak Park, IL. National Provider Identifier 1235456930, active.
NPI record
| NPI | 1235456930 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 14 Lake St, Oak Park, IL 60302 |
| Practice phone | 708-383-0113 |
| Enumerated | April 21, 2010 |
| Last updated | April 21, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 149007278 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.