MEDICARE: ABIGAIL ROSENTHAL BURD L.C.S.W.

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	26867	CA

General Provider Information

NPI Number	:	1922420678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL ROSENTHAL BURD L.C.S.W.

Provider Business Mailing Address
First Line	:	3725 TALBOT ST STE F
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92106-2052
Country	:	US
Telephone Number	:	619-289-7818
Fax Number	:

Provider Business Practice Location Address
First Line	:	3725 TALBOT ST STE F
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92106-2052
Country	:	US
Telephone Number	:	619-289-7818
Fax Number	:

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

Provider Enumeration Date	:	01/15/2014
Last Update Date	:	07/02/2025

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