Provider Demographics
NPI:1558680140
Name:ABRAMSON, MICHAEL S (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:S
Last Name:ABRAMSON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13207 AUSTRIAN PINE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-8249
Mailing Address - Country:US
Mailing Address - Phone:703-209-0940
Mailing Address - Fax:
Practice Address - Street 1:21 S KENT ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-5079
Practice Address - Country:US
Practice Address - Phone:540-662-2202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-22
Last Update Date:2010-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040063941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical