Provider Demographics
NPI:1215449269
Name:MACDONALD, ABIGAIL HADLEY (LMSW)
Entity type:Individual
Prefix:MISS
First Name:ABIGAIL
Middle Name:HADLEY
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 MACKLIND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1400
Mailing Address - Country:US
Mailing Address - Phone:314-645-7800
Mailing Address - Fax:
Practice Address - Street 1:1329 MACKLIND AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1400
Practice Address - Country:US
Practice Address - Phone:314-645-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker