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NPI Code Detail

MEDICARE: ABIGALE JEAN WHEWELL LICSW

MEDICARE: ABIGALE JEAN WHEWELL LICSW
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
11041C0700XClinical Social Worker9567RI
21041C0700XClinical Social WorkerISW03788RI

General Provider Information

NPI Number : 1215752043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGALE JEAN WHEWELL LICSW
Provider Business Mailing Address
First Line : 15 LA SALLE SQ
Second Line :
City : PROVIDENCE
State : RI
Zip : 02903-1814
Country : US
Telephone Number : 401-444-6779
Fax Number : 401-444-6912
Provider Business Practice Location Address
First Line : 11 FRIENDSHIP ST
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2299
Country : US
Telephone Number : 401-845-1479
Fax Number : 401-845-4388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 09/26/2025

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Directions to “ ABIGALE JEAN WHEWELL LICSW” Practice Location

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