Healthcare Provider Details

I. General information

NPI: 1396898391
Provider Name (Legal Business Name): SUSAN ABRAMS EICHENBERGER ED.D., LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8135 NEW LAGRANGE RD
LOUISVILLE KY
40222-4682
US

IV. Provider business mailing address

1350 S 1ST ST
LOUISVILLE KY
40208-2302
US

V. Phone/Fax

Practice location:
  • Phone: 502-451-7602
  • Fax: 502-423-1935
Mailing address:
  • Phone: 502-635-7400
  • Fax: 502-423-1935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 372
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT 0128
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: