Provider Demographics
NPI:1992767115
Name:BROWN, FRAN (MSW LICSW)
Entity type:Individual
Prefix:
First Name:FRAN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 HOMER ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON CTR
Mailing Address - State:MA
Mailing Address - Zip Code:02459
Mailing Address - Country:US
Mailing Address - Phone:617-916-5084
Mailing Address - Fax:617-969-6785
Practice Address - Street 1:37 HOMER ST
Practice Address - Street 2:
Practice Address - City:NEWTON CTR
Practice Address - State:MA
Practice Address - Zip Code:02459
Practice Address - Country:US
Practice Address - Phone:617-916-5084
Practice Address - Fax:617-969-6785
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMALC1068301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1859358Medicaid
MA1859358Medicaid