Provider Demographics
NPI:1184822173
Name:ABRAMSON, JILL (LCSW, CASAC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:ABRAMSON
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 PAMEECHES PATH
Mailing Address - Street 2:
Mailing Address - City:EAST MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11940-1313
Mailing Address - Country:US
Mailing Address - Phone:917-439-6439
Mailing Address - Fax:866-569-0060
Practice Address - Street 1:12 OAK ST
Practice Address - Street 2:OFFICE #3
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-2020
Practice Address - Country:US
Practice Address - Phone:917-439-6439
Practice Address - Fax:866-569-0060
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO46044-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical