Basic Information
| Provider Information | |||||||||
| NPI: | 1073240503 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ABIGAIL KLEIN LCSW PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 226 PROSPECT PARK W # 181 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112155802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8624320226 | ||||||||
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| Practice Location | |||||||||
| Address1: | 247 PROSPECT AVE STE 4 | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112158403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8624320226 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2022 | ||||||||
| LastUpdateDate: | 08/04/2022 | ||||||||
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| AuthorizedOfficialLastName: | KLEIN | ||||||||
| AuthorizedOfficialFirstName: | ABIGAIL | ||||||||
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| AuthorizedOfficialTitleorPosition: | LCSW | ||||||||
| AuthorizedOfficialTelephone: | 8624320226 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.