Active NPI
Craig Eilert Abrahamson, LCSW-C
- Clinical Social Worker
- Oakland, MD
National Provider Identifier
1093937641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-C 6012
- Practice address
- 619 Nest Lick Acres Road
Oakland, MD 21550-4134 - Phone
- (301) 334-9202
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-C 6012 | MD | Primary |
Addresses
Primary practice location
619 Nest Lick Acres Road
Oakland, MD 21550-4134
Mailing address
Post Office Box 74
Oakland, MD 21550-0074
Phone (301) 334-9202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 794201000 | Medicaid | MD | |
| 189519200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-C 6012 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig E. Abrahamson & Associates, P.a. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Oakland, MD
- NPI 1417179839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093937641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 74",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215500074",
"telephone_number": "301-334-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 NEST LICK ACRES ROAD",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215504134",
"telephone_number": "301-334-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMSON",
"first_name": "CRAIG",
"middle_name": "EILERT",
"name_prefix": "Dr.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "LCSW-C 6012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "794201000",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189519200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.