Abigail Segovia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801111242 Issued in MI

Practice address

1030 Miners Rd
Saint Joseph, MI 49085-9709

Phone

(269) 408-1688

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Psychiatric and Psychological Specialties

  • Clinical Psychologist
  • Saint Joseph, MI
  • NPI 1548672728
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1619646254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859709",
            "telephone_number": "269-408-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859709",
            "telephone_number": "269-408-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIA",
        "first_name": "ABIGAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Schumacher, LMSW
• Jeffrey Scieszka, O.D.
• Trudean Scott-Elliott
• Derek Scott, DO
• Scripts Pharmacy Inc
• Daniel Seidling, LMSW
• Senior Nursing Care Services, Inc.
• Tugba Serbest, DO
• Bernadito F. Servillas, MD
• Esther R Servillas, MD

• Clinical Social Worker in Saint Joseph, MI
• Providers in Saint Joseph, 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 Sep 14, 2021; 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.