Stacey Abraham, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50079488 Issued in DC

Practice address

65 Massachusetts Ave NW
Washington, DC 20001-1431

Phone

(301) 262-2270

Fax

(410) 569-0094

NPI assigned

Jul 28, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safe Harbor Christian Counseling of New Jersey LLC

  • Professional Counselor
  • Mountainside, NJ
  • NPI 1215388178

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1053729632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 MOUNTAIN AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761304",
            "telephone_number": "301-262-2270",
            "fax_number": "410-569-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011431",
            "telephone_number": "301-262-2270",
            "fax_number": "410-569-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "STACEY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Abraham
• John T Abraham, LICSW
• Kiniesha Abraham
• Lindsey Abraham, PA-C
• Mary Melody Abraham, MD
• Tirunesh Abraham
• Avadis Abrahamian, DDS
• Teny Abrahamian
• Ramin Abrahim, M.D.
• Steven David Abramowitz, M.D.

• All providers in Washington, DC
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.