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

Abigail Brianna Sutherlin

Individual provider Case Manager/Care Coordinator · NPI 1669095535

Abigail Brianna Sutherlin is a Case Manager/Care Coordinator in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
5

Practice location Address checks out

924 Emerald Bay Rd Ste A2
South Lake Tahoe, CA 96150-6434
Phone: (909) 292-0240
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Social Worker Taxonomy 104100000X (CA)
Behavior Technician Taxonomy 106S00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence 112368 (CA)

Record details

NPI number1669095535
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2020
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024

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