Provider Demographics
NPI:1083326979
Name:MCNEILL, ABIGAIL (LMSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 NICKELS ARC
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2410
Mailing Address - Country:US
Mailing Address - Phone:734-210-0971
Mailing Address - Fax:
Practice Address - Street 1:238 NICKELS ARC
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2410
Practice Address - Country:US
Practice Address - Phone:734-210-0971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011171671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical