Provider Demographics
NPI:1487937769
Name:OWEN, FRANCES F (LCSW)
Entity type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:F
Last Name:OWEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 SO. SCHODACK ROAD
Mailing Address - Street 2:MAPLE HILL MIDDLE SCHOOL
Mailing Address - City:CASTLETON
Mailing Address - State:NY
Mailing Address - Zip Code:12033
Mailing Address - Country:US
Mailing Address - Phone:518-732-7736
Mailing Address - Fax:518-732-0493
Practice Address - Street 1:1477 SO. SCHODACK ROAD
Practice Address - Street 2:MAPLE HILL MIDDLE SCHOOL
Practice Address - City:CASTLETON
Practice Address - State:NY
Practice Address - Zip Code:12033
Practice Address - Country:US
Practice Address - Phone:518-732-7736
Practice Address - Fax:518-732-0493
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021446104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY021446OtherLCSW