Provider Demographics
NPI:1134467566
Name:KATZ, ABIGAIL TOVA (LCSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:TOVA
Last Name:KATZ
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 1:340 STERLING PL # 2W
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4423
Mailing Address - Country:US
Mailing Address - Phone:212-531-1300
Mailing Address - Fax:212-849-2786
Practice Address - Street 1:123-125 WEST 124TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:212-531-1300
Practice Address - Fax:212-849-2786
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0737091041C0700X
NY0822791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical