Kenneth Earl Abrams Jr., MSW
Individual provider Active NPI Clinical Social Worker · Gary, IN
NPI 1104377183 · NPPES record last updated Oct 14, 2016
Key facts
- NPI
- 1104377183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 4795 Broadway
Gary, IN 46409-2403 - Phone
- (219) 887-3688
- Fax
- (219) 887-2666
- NPI assigned
- Oct 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
4795 Broadway
Gary, IN 46409-2403
Mailing address
4795 Broadway
Gary, IN 46409-2403
Phone (219) 887-3688
Other providers in Gary, IN
- 21St Century Charter School at Gary
- 5 Star Elite Medical Transportation Service
- 5TH Ave Dental Inc.
- A&K Kouklakis OD P.C.
- Raied Abdullah
- Accelerated Rehabilitation Centers, LTD
- Diane Adams
- Bola Evelyn Adeyiga
- Adonia Coummunity Services
- Adult Abilities LLC
All providers in Gary, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.