Provider Demographics
NPI:1366760738
Name:WEISBROT, FRANCINE
Entity type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:
Last Name:WEISBROT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCINE
Other - Middle Name:
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:336 W PASSAIC ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3027
Mailing Address - Country:US
Mailing Address - Phone:201-845-7030
Mailing Address - Fax:201-845-0899
Practice Address - Street 1:336 W PASSAIC ST
Practice Address - Street 2:2ND FL
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3027
Practice Address - Country:US
Practice Address - Phone:201-845-7030
Practice Address - Fax:201-845-0899
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2010-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL05101800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SL05101800OtherSTATE OF NJ DIVISON OF CONSUMER AFFIAR/BOARD OF SOCIAL WORK EXAMINERS