Provider Demographics
NPI:1225785009
Name:ANDERSON, ABIGAIL SWAIN (MSW, LCSW, LCAS, CSI)
Entity type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:SWAIN
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS, CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5016 THE WOODS RD
Mailing Address - Street 2:
Mailing Address - City:KITTY HAWK
Mailing Address - State:NC
Mailing Address - Zip Code:27949-4021
Mailing Address - Country:US
Mailing Address - Phone:252-256-1056
Mailing Address - Fax:
Practice Address - Street 1:2611 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9424
Practice Address - Country:US
Practice Address - Phone:919-583-9329
Practice Address - Fax:919-583-9328
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-28059101YA0400X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)