Provider Demographics
NPI:1124578570
Name:USHER, ABIGAIL MICHAELS (LMSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MICHAELS
Last Name:USHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:JANE
Other - Last Name:MICHAELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1100 TORREY RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-3327
Mailing Address - Country:US
Mailing Address - Phone:810-494-7180
Mailing Address - Fax:810-215-1334
Practice Address - Street 1:2200 GENOA BUSINESS PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-5328
Practice Address - Country:US
Practice Address - Phone:810-494-7180
Practice Address - Fax:810-215-1334
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker