Provider Demographics
NPI:1407005341
Name:ABRAM, KIMBERLY L (LCSW)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:L
Last Name:ABRAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:L
Other - Last Name:BOUTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44 MACLYN DR
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-2041
Mailing Address - Country:US
Mailing Address - Phone:860-966-1292
Mailing Address - Fax:
Practice Address - Street 1:46 LEBANON RD
Practice Address - Street 2:
Practice Address - City:BOZRAH
Practice Address - State:CT
Practice Address - Zip Code:06334-1116
Practice Address - Country:US
Practice Address - Phone:860-788-5462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker