Doctor Name: | LEAH ABRAHAMSEN |
NPI Number: | 1033580345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 089.0090956 |
Business Practice Address: | 11 N Main St Randolph, VT - 050601126 |
Business Phone Number: | 8027284466 |
Business Fax Number: | 8027284197 |
Mailing Address: | Po Box G, RANDOLPH |
State: | VT |
Postal Code: | 050600167 |
Phone Number: | 8027284466 |
Fax Number: | 8027284197 |
NPI Enumeration Date: | 10/13/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089.0090956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |