Jennifer Abrams, CASAC 2
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Schoharie, NY
NPI 1700532132 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1700532132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 21170 (NY)
- Practice address
- 113 Park PL
Schoharie, NY 12157-5211 - Phone
- (518) 295-2031
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21170 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 21170 | NY | Yes |
Addresses
Primary practice location
113 Park PL
Schoharie, NY 12157-5211
Mailing address
113 Park PL
Schoharie, NY 12157-5211
Phone (518) 295-2031
Other providers in Schoharie, NY
All providers in Schoharie, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. 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.