Healthcare Provider Details

I. General information

NPI: 1013379197
Provider Name (Legal Business Name): ABIGAIL WOLOFF LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 OLD VALLEY RD FL 2
STEVENSON MD
21153-0670
US

IV. Provider business mailing address

3506 GWYNNBROOK AVE
OWINGS MILLS MD
21117-1409
US

V. Phone/Fax

Practice location:
  • Phone: 717-478-3565
  • Fax:
Mailing address:
  • Phone: 410-500-5421
  • Fax: 410-843-7541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number18190
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: