MEDICARE: DR. SUSAN ABRAMS EICHENBERGER ED.D., 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 372	KY
2	106H00000X	Marriage & Family Therapist	LMFT 0128	KY

General Provider Information

NPI Number	:	1396898391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN ABRAMS EICHENBERGER ED.D., LCSW

Provider Business Mailing Address
First Line	:	1350 S 1ST ST
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40208-2302
Country	:	US
Telephone Number	:	502-635-7400
Fax Number	:	502-423-1935

Provider Business Practice Location Address
First Line	:	8135 NEW LAGRANGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-4682
Country	:	US
Telephone Number	:	502-451-7602
Fax Number	:	502-423-1935

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

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	09/11/2025

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