Provider Demographics
NPI:1639785686
Name:SCHWARTZ, ABIGAIL JANE (LICSW, LCSW, JD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:JANE
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LICSW, LCSW, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3428 PORTER ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3126
Mailing Address - Country:US
Mailing Address - Phone:202-860-7247
Mailing Address - Fax:
Practice Address - Street 1:3428 PORTER ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3126
Practice Address - Country:US
Practice Address - Phone:202-667-0903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD283131041C0700X
DCLC200001222104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical