Provider Demographics
NPI:1558751875
Name:ABEL, KATHLEEN SOPHIE HEDRICK (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:SOPHIE HEDRICK
Last Name:ABEL
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 1:1006E 39TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78751-5207
Mailing Address - Country:US
Mailing Address - Phone:737-226-9845
Mailing Address - Fax:512-212-9830
Practice Address - Street 1:1006 E 39TH ST.
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-5207
Practice Address - Country:US
Practice Address - Phone:737-226-9845
Practice Address - Fax:512-212-9830
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-24
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX569911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical