Provider Demographics
NPI:1992098180
Name:BARTUS, ABIGAIL IRWIN (MSS, LCSW)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:IRWIN
Last Name:BARTUS
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 FORREST AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-2218
Mailing Address - Country:US
Mailing Address - Phone:267-679-6642
Mailing Address - Fax:
Practice Address - Street 1:114 FORREST AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2218
Practice Address - Country:US
Practice Address - Phone:267-679-6642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0170671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical