Provider Demographics
NPI:1902970437
Name:DANIELS-MOSES, FRANCES LEEMARY (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:LEEMARY
Last Name:DANIELS-MOSES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:LEEMARY
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2493 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-8937
Mailing Address - Country:US
Mailing Address - Phone:731-445-2676
Mailing Address - Fax:
Practice Address - Street 1:2493 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-8937
Practice Address - Country:US
Practice Address - Phone:731-445-2676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW00000048241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty