Provider Demographics
NPI:1699872515
Name:ABERMAN, RICHARD M (MSW)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:M
Last Name:ABERMAN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 NEWBURY ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-1065
Mailing Address - Country:US
Mailing Address - Phone:978-777-7188
Mailing Address - Fax:978-774-1283
Practice Address - Street 1:435 NEWBURY ST
Practice Address - Street 2:SUITE 220
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-1065
Practice Address - Country:US
Practice Address - Phone:978-777-7188
Practice Address - Fax:978-774-1283
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1006681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
4337858Medicare UPIN
MA721353Medicare UPIN
MAP01830Medicare UPIN
P01830Medicare ID - Type Unspecified