Provider Demographics
NPI:1427101484
Name:ABRAMSON, SOPHIA (LCSW, PHD)
Entity type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:
Last Name:ABRAMSON
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 PITMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-3053
Mailing Address - Country:US
Mailing Address - Phone:650-328-8722
Mailing Address - Fax:650-328-1303
Practice Address - Street 1:1356 PITMAN AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-3053
Practice Address - Country:US
Practice Address - Phone:650-328-8722
Practice Address - Fax:650-328-1303
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 617101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA14327ZMedicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER