Provider Demographics
NPI:1043023575
Name:ABRAHAM, KARRIE ANN (MS OTR/L, LLMSW)
Entity type:Individual
Prefix:
First Name:KARRIE
Middle Name:ANN
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MS OTR/L, LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-4394
Mailing Address - Country:US
Mailing Address - Phone:906-261-0273
Mailing Address - Fax:
Practice Address - Street 1:227 TIMBER RIDGE DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-4394
Practice Address - Country:US
Practice Address - Phone:906-261-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201011035225X00000X
MI68511182231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist