Healthcare Provider Details

I. General information

NPI: 1811686470
Provider Name (Legal Business Name): ABIGAIL KATHRYN HELD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 NORTH ST
AUBURN NY
13021-1826
US

IV. Provider business mailing address

32 FITCH AVE
AUBURN NY
13021-4708
US

V. Phone/Fax

Practice location:
  • Phone: 315-406-3287
  • Fax:
Mailing address:
  • Phone: 315-406-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number102570-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: