MEDICARE: ABIGAIL FEDEWA LMSW

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	104100000X	Social Worker		MI
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1295252534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL FEDEWA LMSW

Provider Business Mailing Address
First Line	:	2301 S HURON PKWY STE 3D
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-5133
Country	:	US
Telephone Number	:	734-719-0380
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 S HURON PKWY STE 3D
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-5133
Country	:	US
Telephone Number	:	734-719-0380
Fax Number	:

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

Provider Enumeration Date	:	08/28/2017
Last Update Date	:	06/14/2026

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Directions to “ ABIGAIL FEDEWA LMSW” Practice Location

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