Provider Demographics
NPI:1346948676
Name:HARDT, ABIGAIL CHAPMAN BURGIN (LCSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:CHAPMAN BURGIN
Last Name:HARDT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 QUEBEC ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-2941
Mailing Address - Country:US
Mailing Address - Phone:865-300-4016
Mailing Address - Fax:
Practice Address - Street 1:4660 YOSEMITE ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-4481
Practice Address - Country:US
Practice Address - Phone:720-516-8904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099256281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical