Healthcare Provider Details

I. General information

NPI: 1871334144
Provider Name (Legal Business Name): ABIGAIL ENSMENGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S 3RD ST STE 200
COLUMBUS OH
43215-5194
US

IV. Provider business mailing address

5907 RED COACH RD
DAYTON OH
45429-6123
US

V. Phone/Fax

Practice location:
  • Phone: 937-884-1893
  • Fax:
Mailing address:
  • Phone: 937-884-1893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16670
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: