Healthcare Provider Details

I. General information

NPI: 1508269135
Provider Name (Legal Business Name): ABIGAIL DOLORES ALSAADI LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2014
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 BROADWAY AVE
IPSWICH MA
01938-1709
US

IV. Provider business mailing address

6 BROADWAY AVE
IPSWICH MA
01938-1709
US

V. Phone/Fax

Practice location:
  • Phone: 978-821-6343
  • Fax:
Mailing address:
  • Phone: 978-821-6343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number118187
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: