Active NPIIndividual provider

Bisrat Abebe, LICSW

Social Worker, Clinical in West Hartford, Connecticut

NPI Number1649336652
Practice location
336 N Main St, West Hartford, CT 06117-2675
Fax
—
Last updated
February 17, 2020

Bisrat Abebe is a Social Worker, Clinical based in West Hartford, CT. Bisrat Abebe practices in West Hartford, CT and has the professional credentials of LICSW. The NPI Number for Bisrat Abebe is 1649336652 and holds a License No. 10900 (CT). The current practice location address for Bisrat Abebe is 336 N Main St, West Hartford, CT 06117-2675 and can be reached out via phone at 860-696-4400.

Provider Profile Details

NPI Number
1649336652
Provider Name
Bisrat Abebe
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
336 N Main St, West Hartford, CT 06117-2675
Phone Number
860-696-4400
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 28, 2006
Last Update Date
February 17, 2020
Certification Date
February 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
336 N Main St
West Hartford, CT 06117-2675
Zip
06117-2675
Phone Number
860-696-4400
West Hartford, CT 06117Get directions →

Provider Business Mailing Address Details

Address
336 N Main St
West Hartford, CT 06117-2675
City
West Hartford
State
CT
Zip
06117-2675
Phone Number
860-696-4400

License Information

License Number
10900
License State
CT
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 Bisrat Abebe, LICSW?

The NPI number of Bisrat Abebe, LICSW is 1649336652. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Bisrat Abebe, LICSW?

Bisrat Abebe, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 10900.

Where does Bisrat Abebe, LICSW practice?

The practice location is 336 N Main St, West Hartford, CT 06117-2675. The office can be reached at 860-696-4400 (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 1649336652 directly on the NPPES registry website.

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