Provider Demographics
NPI:1659091999
Name:LEFF, ABIGAIL RAE (LMSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:RAE
Last Name:LEFF
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 AIRPORT BLVD APT 1344
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-4174
Mailing Address - Country:US
Mailing Address - Phone:218-340-8303
Mailing Address - Fax:
Practice Address - Street 1:720 AIRPORT BLVD APT 1344
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-4174
Practice Address - Country:US
Practice Address - Phone:218-340-8303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107404104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker