National Provider Identifier

Jacob Abraham, LMSW

Jacob Abraham, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Lyons, NY and a listed phone number of (315) 902-3100.

NPI 1932939501Lyons, NYSocial Worker

Profile Overview

NPI
1932939501
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
August 07, 2024
Last Updated
August 07, 2024

Practice Location

  • 1519 Nye RD
  • Lyons, NY 14489-9133

Phone: (315) 902-3100

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1932939501
Entity Type
Individual
Last Name
Abraham
First Name
Jacob
Credential
LMSW
Mailing Street Address
1519 Nye RD
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9133
Mailing Country
US
Practice Street Address
1519 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9133
Practice Country
US
Practice Phone
(315) 902-3100
Enumeration Date
August 07, 2024
Last Updated
August 07, 2024
Sex
Male
Sole Proprietor
No
Certification Date
August 07, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)