Provider Demographics
NPI:1922420678
Name:BURD, ABIGAIL ROSENTHAL (LCSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:ROSENTHAL
Last Name:BURD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ABIGAIL (ABBY)
Other - Middle Name:
Other - Last Name:BURD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, PMH-C
Mailing Address - Street 1:3725 TALBOT ST STE F
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2052
Mailing Address - Country:US
Mailing Address - Phone:619-289-7818
Mailing Address - Fax:
Practice Address - Street 1:3725 TALBOT ST STE F
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-2052
Practice Address - Country:US
Practice Address - Phone:619-289-7818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical