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Abigail Fargo, LCSW

Social Worker, Clinical in Waltham, MA. Individual provider (NPI-1).

NPI number1932829223
StatusActive
Last updated in NPPESJul 29, 2025

Details

NPI
1932829223
Entity type
Individual (NPI-1)
Name
Abigail Fargo
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 29, 2022
Certification date
Jul 24, 2025
Last updated
Jul 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLCSW2130469MAYes
1041C0700X Social Worker, Clinical––

Practice location

431 River St
Waltham, MA 02453-5476

Phone 781-891-0555

Mailing address

431 River St
Waltham, MA 02453-5476

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