Active NPIIndividual providerSole proprietor

Carol Abizaid, LICSW

Social Worker, Clinical in West Roxbury, Massachusetts

NPI Number1639775661
Practice location
71 Joyce Kilmer RD, West Roxbury, MA 02132-5123
Fax
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Last updated
November 22, 2022

Carol Abizaid is a Social Worker, Clinical based in West Roxbury, MA. Carol Abizaid practices in West Roxbury, MA and has the professional credentials of LICSW. The NPI Number for Carol Abizaid is 1639775661 and holds a License No. 125800 (MA). The current practice location address for Carol Abizaid is 71 Joyce Kilmer RD, West Roxbury, MA 02132-5123 and can be reached out via phone at 917-727-5810.

Provider Profile Details

NPI Number
1639775661
Provider Name
Carol Abizaid
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
71 Joyce Kilmer RD, West Roxbury, MA 02132-5123
Phone Number
917-727-5810
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 6, 2020
Last Update Date
November 22, 2022
Certification Date
November 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
71 Joyce Kilmer RD
West Roxbury, MA 02132-5123
Zip
02132-5123
Phone Number
917-727-5810
West Roxbury, MA 02132Get directions →

Provider Business Mailing Address Details

Address
71 Joyce Kilmer RD
West Roxbury, MA 02132-5123
City
West Roxbury
State
MA
Zip
02132-5123
Phone Number
917-727-5810

License Information

License Number (1)
125800
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
111167-01
License State (2)
NY
Taxonomy (2)
Social Worker · 104100000X

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 Carol Abizaid, LICSW?

The NPI number of Carol Abizaid, LICSW is 1639775661. It was assigned on December 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Carol Abizaid, LICSW?

Carol Abizaid, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 125800.

Where does Carol Abizaid, LICSW practice?

The practice location is 71 Joyce Kilmer RD, West Roxbury, MA 02132-5123. The office can be reached at 917-727-5810 (phone).

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 1639775661 directly on the NPPES registry website.

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