Provider Demographics
NPI:1154509651
Name:ABRAMOVICH, LIZABETH B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LIZABETH
Middle Name:B
Last Name:ABRAMOVICH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LIZABETH
Other - Middle Name:B
Other - Last Name:GREENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:GILA RIVER HEALTH CARE COORPORTATION
Mailing Address - City:SACATON
Mailing Address - State:AZ
Mailing Address - Zip Code:85247
Mailing Address - Country:US
Mailing Address - Phone:602-528-7126
Mailing Address - Fax:602-528-1374
Practice Address - Street 1:483 WEST SEED FARM ROAD
Practice Address - Street 2:GILA RIVER HEALTH CARE COORPORTATION
Practice Address - City:SACATON
Practice Address - State:AZ
Practice Address - Zip Code:85247
Practice Address - Country:US
Practice Address - Phone:602-528-7126
Practice Address - Fax:602-528-1374
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSW-2432I1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ346214Medicaid