Provider Demographics
NPI:1750041489
Name:GROFF, ABELEE RUTH ESPARZA (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:ABELEE
Middle Name:RUTH ESPARZA
Last Name:GROFF
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1019
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-6019
Mailing Address - Country:US
Mailing Address - Phone:781-474-2243
Mailing Address - Fax:
Practice Address - Street 1:77 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2913
Practice Address - Country:US
Practice Address - Phone:781-474-2243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0002246641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical