Abigail Gellene-Beaudoin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011812 Issued in VA

Practice address

4410 Claiborne SQ E Ste 234
Hampton, VA 23666-2071

Phone

(757) 977-0889

NPI assigned

Apr 26, 2024

Last updated

Apr 26, 2024By the provider in NPPES

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peninsula Child & Family Services LLC

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1457848335
  NPD (past)

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1972359354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 HORNSBYVILLE RD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236924947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E STE 234",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662071",
            "telephone_number": "757-977-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLENE-BEAUDOIN",
        "first_name": "ABIGAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary N Wilkerson
• Gastroenterology Specialist
• Jordan Benjamin Gayfield, DO
• GCD Healthcare, LLC
• Guerline Gelin, CSW
• Laura Gendron
• Genesis Autism Center, LLC
• Genesis Counseling Center, Inc.
• Genesis Counseling Center, Inc.
• Genesis Healthcare

• Clinical Social Worker in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.