Active NPIIndividual providerSole proprietor

Mrs. Kristin L Abdow, LICSW

Social Worker, Clinical in Springfield, Massachusetts

NPI Number1487203519
Practice location
622 State St, Springfield, MA 01109-4104
Fax
413-733-2417
Last updated
September 11, 2019

Kristin Lee Abdow is a Social Worker, Clinical based in Springfield, MA. Kristin Lee Abdow practices in Springfield, MA and has the professional credentials of LICSW. The NPI Number for Kristin Lee Abdow is 1487203519 and holds a License No. 000122250 (MA). The current practice location address for Kristin Lee Abdow is 622 State St, Springfield, MA 01109-4104 and can be reached out via phone at 413-493-2200 and via fax at 413-733-2417.

Provider Profile Details

NPI Number
1487203519
Provider Name
Kristin Lee Abdow
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
622 State St, Springfield, MA 01109-4104
Phone Number
413-493-2200
Fax Number
413-733-2417
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2019
Last Update Date
September 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
622 State St
Springfield, MA 01109-4104
Zip
01109-4104
Phone Number
413-493-2200
Fax Number
413-733-2417
Springfield, MA 01109Get directions →

Provider Business Mailing Address Details

Address
131 Laconia St
Ludlow, MA 01056-3604
City
Ludlow
State
MA
Zip
01056-3604
Phone Number
401-301-2205

License Information

License Number
000122250
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kristin L Abdow, LICSW?

The NPI number of Mrs. Kristin L Abdow, LICSW is 1487203519. It was assigned on September 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kristin L Abdow, LICSW?

Mrs. Kristin L Abdow, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 000122250.

Where does Mrs. Kristin L Abdow, LICSW practice?

The practice location is 622 State St, Springfield, MA 01109-4104. The office can be reached at 413-493-2200 (phone) or 413-733-2417 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487203519 directly on the NPPES registry website.

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