Provider Demographics
NPI:1578129185
Name:WEBER, ABIGAIL THERESA (LCSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:THERESA
Last Name:WEBER
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 DANA AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-1342
Mailing Address - Country:US
Mailing Address - Phone:513-975-4674
Mailing Address - Fax:
Practice Address - Street 1:2135 DANA AVE STE 220
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-1342
Practice Address - Country:US
Practice Address - Phone:513-975-4674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1041C0700X
OHI.2304837-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical