MRS. KRISTIN LEE ABDOW (NPI# 1487203519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487203519 |
| Entity Type | Individual |
| Full Name | MRS. KRISTIN LEE ABDOW |
| Credential | LICSW |
| Practice Address |
622 State St Springfield MA 01109-4104 |
| Mailing Address |
131 Laconia St Ludlow MA 01056-3604 |
| Practice Telephone | 4134932200 |
| Practice Fax Number | 4137332417 |
| Mailing Telephone | 4013012205 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000122250 | MA | Behavioral Health & Social Service Providers |
| Street Address |
622 STATE ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01109-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740332535 | Keith Mumblo | Social Worker | 622 State St, Springfield, MA 01109-4104 | 2007-01-18 |
| 1275153306 | Kandice Evadney Jones | Counselor | 622 State St, Springfield, MA 01109-4104 | 2020-04-18 |
| 1598313900 | Nusean D Mayfield | Counselor | 622 State St, Springfield, MA 01109-4104 | 2019-08-28 |
| 1598218240 | Dallas B Ortiz | Counselor | 622 State St, Springfield, MA 01109-4104 | 2016-07-29 |
| 1467827204 | Richard Rondeau | Counselor | 622 State St, Springfield, MA 01109-4104 | 2015-12-04 |
| 1801261755 | Judith Mazel | Social Worker | 622 State St, Springfield, MA 01109-4104 | 2015-12-03 |
| 1992197651 | Caring Health Center, Inc. | Clinic/Center | 622 State St, Chd Site, Springfield, MA 01109-4104 | 2015-03-04 |
| 1821408824 | Amy Neumann | Social Worker | 622 State St, Springfield, MA 01109 | 2014-04-30 |
| 1902240591 | Sarah Ann Broadbent | Social Worker | 622 State St, Springfield, MA 01109-4104 | 2013-04-25 |
| 1801138797 | Sofia Claudia Vecchio-von Stange | Occupational Therapist | 622 State St, Springfield, MA 01109-4104 | 2013-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479892 | Ethan Chase | Dentist | 555 State Street, Dental Dreams, Springfield, MA 01109 | 2015-02-11 |
| 1043591423 | Victoria A Jones | Counselor | 1104 Street Street, Suite 2d, Springfield, MA 01109 | 2011-08-30 |
| 1093043879 | Lee Ann Callagher | Occupational Therapist | 807 Wilbraham Rd., Springfield, MA 01109 | 2009-12-07 |
| 1740424993 | Pamela Joan Aselton | Nurse Practitioner | 263 Alden Street, Springfield College Health Service, Springfield, MA 01109 | 2009-04-30 |
| 1225642507 | Emma V Slater | Student in an Organized Health Care Education/Training Program | 263 Alden St, Springfield, MA 01109 | 2020-09-03 |
| 1184253239 | Hye Young Shin | Dentist | 555 State St, Springfield, MA 01109 | 2020-04-01 |
| 1225662992 | Mary Catherine Becker | Student in an Organized Health Care Education/Training Program | 263 Alden Street, Springfield, MA 01109 | 2020-03-02 |
| 1235630856 | Kathryn O'brien | Student in an Organized Health Care Education/Training Program | 11 Wilbraham Rd, Springfield, MA 01109 | 2018-02-28 |
| 1174074736 | Candace Griffith | Counselor | 140 High St., Suite 230, Springfield, MA 01109 | 2016-10-19 |
| 1356730279 | Pedro Ferrer | Counselor | 332 Birnie Ave, Springfield, MA 01109 | 2015-01-15 |
| Find all providers in zip 01109 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.