Provider Demographics
NPI:1013071174
Name:ABRAHAMS, REBECCA PAIGE (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:PAIGE
Last Name:ABRAHAMS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:PAIGE
Other - Last Name:WENK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:4915 SAINT ELMO AVE STE 409
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6293
Mailing Address - Country:US
Mailing Address - Phone:301-200-8956
Mailing Address - Fax:
Practice Address - Street 1:4915 SAINT ELMO AVE STE 409
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6293
Practice Address - Country:US
Practice Address - Phone:301-200-8956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
G90830Medicare UPIN
003075M92Medicare ID - Type Unspecified