Provider Demographics
NPI:1043591803
Name:HASSEL, ABIGALE S (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ABIGALE
Middle Name:S
Last Name:HASSEL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 KINGS CROFT
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-1110
Mailing Address - Country:US
Mailing Address - Phone:732-688-2960
Mailing Address - Fax:856-288-0955
Practice Address - Street 1:103 EAST GATE DRIVE
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034
Practice Address - Country:US
Practice Address - Phone:732-688-2960
Practice Address - Fax:856-288-0955
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053966001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ249142OtherMEDICARE PTAN