Individual
GEOFFREY THOMAS ABBOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1020 W BROADWAY AVE, UMPHYSICIANS BROADWAY FAMILY MEDICINE, MINNEAPOLIS, MN 55411-2504
(612) 302-8200
(612) 302-8275
Mailing address
1020 W BROADWAY AVE, UMPHYSICIANS BROADWAY FAMILY MEDICINE, MINNEAPOLIS, MN 55411-2504
(612) 302-8200
(612) 302-8275
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3977
MN
1041C0700X
Clinical Social Worker
Primary
3977
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100593
UCARE
MN
01
—
1019266
PREFERRED ONE
MN
01
—
37B39AB
BCBS
MN
01
—
62-55425
MEDICA CHOICE AND PRIMARY
MN
01
—
767983
ARAZID
MN
01
—
HP27477
HEALTHPARTNERS
MN
Enumeration date
06/15/2006
Last updated
09/11/2025
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