Abigail Waller, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088461 Issued in MI

Practice address

2800 W Willow St
Lansing, MI 48917-1833

Phone

(517) 323-4734

Fax

(517) 886-1158

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• St. Vincent Catholic Charities

  • Voluntary or Charitable Agency
  • Lansing, MI
  • NPI 1619907631
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558413989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-323-4734",
            "fax_number": "517-886-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-323-4734",
            "fax_number": "517-886-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "ABIGAIL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Walker, NP
• Zachary Thomas Walker, MD
• Tressa Walkington, PA
• Wallace Opticians Inc
• Jared Wallace
• Erik James Walley, D.C.
• Michelle Walls
• Melissa Walraven
• Andrea H Walsh, MD
• Barbara Walsh, RN

• Clinical Social Worker in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.