Healthcare Provider Details

I. General information

NPI: 1306972948
Provider Name (Legal Business Name): ELAINE ABRAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BROAD ST
MIDDLETOWN DE
19709-1037
US

IV. Provider business mailing address

1536 KIRKWOOD HWY
NEWARK DE
19711-5716
US

V. Phone/Fax

Practice location:
  • Phone: 302-376-0621
  • Fax: 302-376-6219
Mailing address:
  • Phone: 302-454-1230
  • Fax: 302-454-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001023
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: