Provider Demographics
NPI:1225234644
Name:ABRAMS, HEATHER T (LICSW)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:T
Last Name:ABRAMS
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 1:2 APPLETON ST
Mailing Address - Street 2:CO NORTHEAST HOUSING COURT
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840
Mailing Address - Country:US
Mailing Address - Phone:978-687-7184
Mailing Address - Fax:
Practice Address - Street 1:2 APPLETON ST
Practice Address - Street 2:NORTHEAST HOUSING COURT
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840
Practice Address - Country:US
Practice Address - Phone:978-687-7184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1113281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical