NPI 1649336652 · live from the CMS NPI Registry
Bisrat Abebe, LICSW
Social Worker, Clinical in West Hartford, CT. National Provider Identifier 1649336652, active.
NPI record
| NPI | 1649336652 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 336 N Main St, West Hartford, CT 06117 |
| Practice phone | 860-696-4400 |
| Enumerated | December 28, 2006 |
| Last updated | February 17, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 10900 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.