Provider Demographics
NPI:1366074726
Name:ABRASS, LAURA ANN (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANN
Last Name:ABRASS
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 THOMPSON AVE E STE 110
Mailing Address - Street 2:
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-3262
Mailing Address - Country:US
Mailing Address - Phone:651-439-2446
Mailing Address - Fax:
Practice Address - Street 1:149 THOMPSON AVE E STE 110
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-3262
Practice Address - Country:US
Practice Address - Phone:651-439-2446
Practice Address - Fax:651-439-2071
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical