Wellformed AI

NPI 1659085967 · live from the CMS NPI Registry

Abigail Ackourey, LCSW

Social Worker, Clinical in Berwyn, PA. National Provider Identifier 1659085967, active.

NPI record

NPI1659085967 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1031 Old Cassatt Rd Ste 100, Berwyn, PA 19312
Practice phone480-660-8757
Mailing address700 Lower State Rd Apt 16c3, North Wales, PA 19454
EnumeratedJanuary 11, 2023
Last updatedJanuary 11, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700XCW020716 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.