Healthcare Provider Details

I. General information

NPI: 1902103609
Provider Name (Legal Business Name): ABBY S MCGILLIVRAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2011
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SPRINGDALE DR STE 100R
EXTON PA
19341-2866
US

IV. Provider business mailing address

158 BIRCHWOOD DR
WEST CHESTER PA
19380-7327
US

V. Phone/Fax

Practice location:
  • Phone: 610-696-1543
  • Fax: 610-696-1819
Mailing address:
  • Phone: 484-432-3667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW014053
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: