Provider Demographics
NPI:1174346449
Name:WARE, ABIGAIL DOROTHY CATHERINE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:DOROTHY CATHERINE
Last Name:WARE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 ELM ST APT 3R
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1938
Mailing Address - Country:US
Mailing Address - Phone:603-860-7712
Mailing Address - Fax:
Practice Address - Street 1:113 ELM ST APT 3R
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1938
Practice Address - Country:US
Practice Address - Phone:603-860-7712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2308531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical