Provider Demographics
NPI:1629704291
Name:CHAMBERLAIN, ABBY MURPHY (LCSW)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:MURPHY
Last Name:CHAMBERLAIN
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 1:1080 W LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-1341
Mailing Address - Country:US
Mailing Address - Phone:860-414-5698
Mailing Address - Fax:
Practice Address - Street 1:1080 W LAKE AVE
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-1341
Practice Address - Country:US
Practice Address - Phone:860-414-5698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0118671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical