Provider Demographics
NPI:1316301252
Name:WOLLSCHLEGER, ABIGAIL THERESE (LISW-S)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:THERESE
Last Name:WOLLSCHLEGER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 HAMLET ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-2533
Mailing Address - Country:US
Mailing Address - Phone:614-298-4135
Mailing Address - Fax:614-294-6109
Practice Address - Street 1:1421 HAMLET ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-2533
Practice Address - Country:US
Practice Address - Phone:614-298-4135
Practice Address - Fax:614-294-6109
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1302816-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical