Provider Demographics
NPI:1174773360
Name:TISCHLER, ABIGAIL ELLEN (LCSW, ATR-BC)
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:ELLEN
Last Name:TISCHLER
Suffix:
Gender:F
Credentials:LCSW, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-3200
Mailing Address - Country:US
Mailing Address - Phone:203-903-3156
Mailing Address - Fax:
Practice Address - Street 1:315 FRONT ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-3200
Practice Address - Country:US
Practice Address - Phone:203-903-3156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CT0087371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor