Healthcare Provider Details

I. General information

NPI: 1609604982
Provider Name (Legal Business Name): ABIGAIL RODLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 OLYMPIA CIR STE 101
CHARLOTTESVILLE VA
22911-3614
US

IV. Provider business mailing address

325 FOUR LEAF LN STE 12
CHARLOTTESVILLE VA
22903-9203
US

V. Phone/Fax

Practice location:
  • Phone: 434-202-4080
  • Fax:
Mailing address:
  • Phone: 434-202-4080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: