Healthcare Provider Details

I. General information

NPI: 1538087689
Provider Name (Legal Business Name): ABIGAIL COWSER-BARNETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 E VIENNA ST
ANNA IL
62906-2051
US

IV. Provider business mailing address

PO BOX 179
ANNA IL
62906-0179
US

V. Phone/Fax

Practice location:
  • Phone: 618-833-6488
  • Fax:
Mailing address:
  • Phone: 618-833-6488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.030105
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: