Provider Demographics
NPI:1649768847
Name:ABRAHAMS, BESS DEBORAH (LCSW)
Entity Type:Individual
Prefix:
First Name:BESS
Middle Name:DEBORAH
Last Name:ABRAHAMS
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 1:401 10TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4027
Mailing Address - Country:US
Mailing Address - Phone:917-716-5077
Mailing Address - Fax:
Practice Address - Street 1:200 PROSPECT PARK W
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5747
Practice Address - Country:US
Practice Address - Phone:212-621-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY102784-1252Y00000X
NY094449-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No252Y00000XAgenciesEarly Intervention Provider Agency