National Provider Identifier

Abigal J Myslivecek, LMSW

Abigal J Myslivecek, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Penfield, NY and a listed phone number of (585) 385-6030.

NPI 1649985003Penfield, NYSocial Worker

Profile Overview

NPI
1649985003
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
January 19, 2023
Last Updated
January 19, 2023

Practice Location

  • 21 Willow Pond Way Ste 103
  • Penfield, NY 14526-2687

Phone: (585) 385-6030

Mailing Address

  • 2521 Manitou RD Apt 3
  • Gates, NY 14624-1177

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1649985003
Entity Type
Individual
Last Name
Myslivecek
First Name
Abigal
Middle Name
J
Credential
LMSW
Mailing Street Address
2521 Manitou RD Apt 3
Mailing City
Gates
Mailing State
NY
Mailing ZIP Code
14624-1177
Mailing Country
US
Mailing Phone
(585) 406-6141
Practice Street Address
21 Willow Pond Way Ste 103
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2687
Practice Country
US
Practice Phone
(585) 385-6030
Enumeration Date
January 19, 2023
Last Updated
January 19, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)