Provider Demographics
NPI:1730963182
Name:STOLTS, ABBY ELIZABETH (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:ELIZABETH
Last Name:STOLTS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:ELIZABETH
Other - Last Name:STUEDEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2213 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1205
Mailing Address - Country:US
Mailing Address - Phone:319-358-2406
Mailing Address - Fax:319-358-9276
Practice Address - Street 1:2213 2ND ST
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1205
Practice Address - Country:US
Practice Address - Phone:319-358-2406
Practice Address - Fax:319-358-9276
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA118692104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker