Provider Demographics
NPI:1356011662
Name:HANSEN, ABIGAIL GARRETT (LCSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:GARRETT
Last Name:HANSEN
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 1:13491 W LAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-1524
Mailing Address - Country:US
Mailing Address - Phone:720-300-2848
Mailing Address - Fax:
Practice Address - Street 1:13491 W LAYTON AVE
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-1524
Practice Address - Country:US
Practice Address - Phone:720-300-2848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCSW.09923928OtherCOLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS