NPI 1417387168 · live from the CMS NPI Registry
Tracy Abzug, LCSW
Social Worker, Clinical in Austin, TX. National Provider Identifier 1417387168, active.
NPI record
| NPI | 1417387168 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 56 East Ave, Austin, TX 78701 |
| Practice phone | 512-472-4357 |
| Mailing address | 1430 Collier St, Austin, TX 78704 |
| Enumerated | November 16, 2013 |
| Last updated | November 16, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 51822 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.