Provider Demographics
NPI:1679262174
Name:DOBBIE, ABIGAIL J (LCSW)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:J
Last Name:DOBBIE
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 1:9 SAINT JOHNS MEDICAL PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5955
Mailing Address - Country:US
Mailing Address - Phone:904-797-2705
Mailing Address - Fax:904-797-2820
Practice Address - Street 1:9 SAINT JOHNS MEDICAL PARK DR STE A
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5955
Practice Address - Country:US
Practice Address - Phone:904-797-2705
Practice Address - Fax:904-797-2820
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW210071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical