Individual provider Active NPI

Margaret C Abrahamson, LCSW/LISW

  • Clinical Social Worker
  • Euclid, OH
National Provider Identifier
1063842045
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405945 Issued in OH
Practice address
20611 Euclid Ave
Euclid, OH 44117-1521
Phone
(216) 859-2710
NPI assigned
Nov 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7890-C NV
Rehabilitation Practitioner 225400000X
Clinical Social Worker 1041C0700X I.2405945 OH Primary

Addresses

Primary practice location

20611 Euclid Ave
Euclid, OH 44117-1521

Mailing address

3430 Lownesdale Rd
Cleveland Heights, OH 44112-3034
Phone (702) 277-5257

Other practice location 1

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone (702) 670-2725

Other practice location 2

6879 W Charleston Blvd
Las Vegas, NV 89117-1672
Phone (702) 608-4220

Other practice location 3

3430 Lownesdale Rd
Cleveland Heights, OH 44112-3034
Phone (702) 277-5257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624001288 NV Practitioner - Clinical Social Worker 3971925744 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2405945OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bergdale & Hall, LLC Clinical Current Accepting new patients
Bergdale & Hall, LLC CurrentSince Mar 18, 2020 Accepting new patients

Locations

6879 W Charleston Blvd
Ste A
Las Vegas, NV 89117
Phone (702) 308-4807

6885 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 483-7367

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1063842045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 LOWNESDALE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441123034",
            "telephone_number": "702-277-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20611 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171521",
            "telephone_number": "216-859-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1489 W Warm Springs Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890147367",
            "country_code": "US",
            "telephone_number": "702-670-2725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6879 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171672",
            "country_code": "US",
            "telephone_number": "702-608-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Lownesdale Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441123034",
            "country_code": "US",
            "telephone_number": "702-277-5257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "MARGARET",
        "middle_name": "C",
        "credential": "LCSW/LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7890-C",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.