Provider Demographics
NPI:1679245203
Name:HANVEY, ABIGAIL LEIGH DURAN (LCSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LEIGH DURAN
Last Name:HANVEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:LEIGH
Other - Last Name:DURAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1059 MICHAEL CT APT 118
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-3727
Mailing Address - Country:US
Mailing Address - Phone:224-578-1008
Mailing Address - Fax:
Practice Address - Street 1:1059 MICHAEL CT APT 118
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-3727
Practice Address - Country:US
Practice Address - Phone:224-578-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0236231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical