Abigail Susannah Holbrook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003391 Issued in GA

Practice address

1551 Jennings Mill Rd
Suite 3200 a
Watkinsville, GA 30677-7244

Phone

(706) 424-4814

Fax

(706) 424-4814

NPI assigned

Aug 22, 2006

Last updated

Jun 18, 2015By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abigail S. Holbrook, MSW, LCSW, LLC

  • Clinical Social Worker
  • Watkinsville, GA
  • NPI 1952782799
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1326154089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7742",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306047742",
            "telephone_number": "706-424-4814",
            "fax_number": "706-424-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 JENNINGS MILL RD",
            "address_2": "SUITE 3200 A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777244",
            "telephone_number": "706-424-4814",
            "fax_number": "706-424-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "ABIGAIL",
        "middle_name": "SUSANNAH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1952782799",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202I802093",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R Hines
• Courtney Hinson, NP-C
• Kenya Hitchcock, RBT
• Cameron Hoellrich
• Dana June Hogan, MD
• Anna Holland
• Bryan Keith Hooper, D.C.
• Hopebridge LLC
• Horizon Physical Therapy and Rehabilitation, Inc.
• Abigail House

• Clinical Social Worker in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.