NPI 1477292365 · live from the CMS NPI Registry
Rachael Abedraboh, LCSW
Social Worker, Clinical in Mansfield, TX. National Provider Identifier 1477292365, active.
NPI record
| NPI | 1477292365 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1804 Owen Ct Ste 100, Mansfield, TX 76063 |
| Practice phone | 817-812-2889 |
| Enumerated | May 31, 2022 |
| Last updated | August 12, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 52058 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.