Provider Demographics
NPI:1164854964
Name:CELANO, ABIGAIL ELIZABETH (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:CELANO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 WAMPANOAG TRL UNIT 400
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-1507
Mailing Address - Country:US
Mailing Address - Phone:401-785-6210
Mailing Address - Fax:
Practice Address - Street 1:501 WAMPANOAG TRL UNIT 400
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1507
Practice Address - Country:US
Practice Address - Phone:401-785-6210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW023341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical