Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abdo Ali Abdullah, LCSW

Individual provider Professional Counselor · NPI 1700556560

Abdo Ali Abdullah, LCSW is a Clinical Social Worker in Stockton, California. Qualified in 2022, 4 years ago. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2105 W March Ln Ste 2
Stockton, CA 95207-6422
Phone: (209) 792-1489
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 133564 (CA)

Record details

NPI number1700556560
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address833 Inyo Ave, Modesto, CA 95358-6029

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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