Sean Alexander Abraham
Individual provider Active NPI Clinical Social Worker · Fort Wayne, IN
NPI 1780210872 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1780210872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34009731A (IN)
- Practice address
- 5534 Saint Joe Rd
Fort Wayne, IN 46835-3328 - Phone
- (812) 200-0513
- NPI assigned
- Mar 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|
| 99095041A | IN | MD | Social Worker |
| 34009731A | IN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 99095041A | IN | |
| Clinical Social Worker | 1041C0700X | 34009731A | IN | Yes |
Addresses
Primary practice location
5534 Saint Joe Rd
Fort Wayne, IN 46835-3328
Mailing address
3204 S Walnut Springs Dr
Bloomington, IN 47401-7422
Phone (317) 540-4358
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sean.abraham@joingroups.com | Recover Together, Inc. |
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All providers in Fort Wayne, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. 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.