Mary Katherine Abzug, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

127511 Issued in CA

Practice address

604 S Irving Blvd
Los Angeles, CA 90005-3607

Phone

(323) 273-1050

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1265258719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S IRVING BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053607",
            "telephone_number": "323-273-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S IRVING BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900053607",
            "telephone_number": "323-273-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABZUG",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Abusleme, M.D.
• Fatima Hassan Abutouk
• Aman Brooks Abye, DPT
• Abzug & Scherr Physical Therapy PC (Limitless Physical Therapy and Wellness)
• Alexander Louis Abzug, DPT
• Ac Home Care Services Private Inc
• Ac Hospice, Inc.
• Acacia Psychological Corporation (Acacia Counseling & Wellness)
• Acacia Psychological Corporation (Acacia Counseling and Wellness)
• Herminio Samonte Academia, MD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.