Provider Demographics
NPI:1679151955
Name:SEPANSKI, ABIGAIL ROSE (LMSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ROSE
Last Name:SEPANSKI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:SEPANSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:306A MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4022
Mailing Address - Country:US
Mailing Address - Phone:864-729-3247
Mailing Address - Fax:
Practice Address - Street 1:306A MILLS AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4022
Practice Address - Country:US
Practice Address - Phone:864-729-3247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13126104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker