Provider Demographics
NPI:1770465478
Name:PERREIRA, ABIGAIL SUZANNE (LMSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:SUZANNE
Last Name:PERREIRA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 DEER RUN TRL
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-2496
Mailing Address - Country:US
Mailing Address - Phone:860-803-5406
Mailing Address - Fax:
Practice Address - Street 1:2264 SILAS DEANE HWY STE 100
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2333
Practice Address - Country:US
Practice Address - Phone:860-803-5406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5463104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker