Provider Demographics
NPI:1225276199
Name:ABADIE, TERRI (LISW)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:
Last Name:ABADIE
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4929 MARNA LYNN AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-5710
Mailing Address - Country:US
Mailing Address - Phone:505-899-1736
Mailing Address - Fax:
Practice Address - Street 1:4929 MARNA LYNN AVE NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-5710
Practice Address - Country:US
Practice Address - Phone:505-899-1736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-44691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical