Provider Demographics
NPI:1164682308
Name:CONWAY, FRANCINE (PHD, LMSW)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:
Last Name:CONWAY
Suffix:
Gender:F
Credentials:PHD, LMSW
Other - Prefix:PROF
Other - First Name:FRANCINE
Other - Middle Name:
Other - Last Name:CONWAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LMSW
Mailing Address - Street 1:838 TERRILL RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07062-2220
Mailing Address - Country:US
Mailing Address - Phone:917-902-4766
Mailing Address - Fax:
Practice Address - Street 1:10 PLAZA ST E
Practice Address - Street 2:SUITE G1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4954
Practice Address - Country:US
Practice Address - Phone:917-902-4766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68014763103T00000X
NY72046492104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker