Provider Demographics
NPI:1447487483
Name:MORGAN, ABIGAIL (LCSW)
Entity type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 COLLEY AVE
Mailing Address - Street 2:STE 114
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-2043
Mailing Address - Country:US
Mailing Address - Phone:757-233-8575
Mailing Address - Fax:757-233-7267
Practice Address - Street 1:5215 COLLEY AVE
Practice Address - Street 2:STE 114
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23508-2043
Practice Address - Country:US
Practice Address - Phone:757-233-8575
Practice Address - Fax:757-233-7267
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040071481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACO3714OtherMEDICARE
VA4945573Medicaid
VAVAA102228Medicare PIN