MEDICARE: JEAN ABRAMS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-716	WY
2	1041C0700X	Clinical Social Worker	1408	WY

General Provider Information

NPI Number	:	1003265521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN ABRAMS LCSW

Provider Business Mailing Address
First Line	:	PO BOX 4180
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-4180
Country	:	US
Telephone Number	:	307-734-6040
Fax Number	:

Provider Business Practice Location Address
First Line	:	4180 GREGORY LANE
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001
Country	:	US
Telephone Number	:	307-734-6040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	03/19/2026

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