Provider Demographics
NPI:1861590903
Name:HALL, FRANCES H (LICSW)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:H
Last Name:HALL
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 THE LYNNWAY
Mailing Address - Street 2:SUITE 309
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901
Mailing Address - Country:US
Mailing Address - Phone:781-581-0823
Mailing Address - Fax:781-596-0180
Practice Address - Street 1:319 THE LYNNWAY
Practice Address - Street 2:SUITE 309
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01901
Practice Address - Country:US
Practice Address - Phone:781-581-0823
Practice Address - Fax:781-596-0180
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA102498104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAXXXXX8946OtherUNITED BEHAVIORAL HEALTH
MA901110OtherBCBS
MAXXXXX8946OtherUNITED BEHAVIORAL HEALTH