Provider Demographics
NPI:1518211705
Name:ZEVELOFF, ABIGAIL DEBRA (LCSW, ASUDC)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:DEBRA
Last Name:ZEVELOFF
Suffix:
Gender:F
Credentials:LCSW, ASUDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 E GLEN ARBOR ST
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-3813
Mailing Address - Country:US
Mailing Address - Phone:919-949-0486
Mailing Address - Fax:
Practice Address - Street 1:1209B HILLSBOROUGH RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516
Practice Address - Country:US
Practice Address - Phone:919-949-0486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1956101YA0400X
NCC0080601041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)