Provider Demographics
NPI:1144723396
Name:STAMPER, FRANCES RENAE (CSW, LSW)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:RENAE
Last Name:STAMPER
Suffix:
Gender:F
Credentials:CSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-2916
Mailing Address - Country:US
Mailing Address - Phone:812-924-4004
Mailing Address - Fax:812-941-7008
Practice Address - Street 1:702 E MARKET ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-2916
Practice Address - Country:US
Practice Address - Phone:812-924-4004
Practice Address - Fax:812-941-7008
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY252709104100000X
IN33008318A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker