Healthcare Provider Details

I. General information

NPI: 1578486437
Provider Name (Legal Business Name): ABIGAIL JONES LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 TOWER MOUNTAIN ROAD
HANCOCK MA
01237
US

IV. Provider business mailing address

PO BOX 1107
HANCOCK MA
01237-1107
US

V. Phone/Fax

Practice location:
  • Phone: 315-546-6767
  • Fax:
Mailing address:
  • Phone: 315-546-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW127459
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: