Provider Demographics
NPI:1225786593
Name:KOPEW CIESIELSKI, FRANCES (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:KOPEW CIESIELSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:KOPEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:443 LAUREL OAK RD STE 130
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4419
Mailing Address - Country:US
Mailing Address - Phone:856-857-6920
Mailing Address - Fax:
Practice Address - Street 1:443 LAUREL OAK RD STE 130
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08043-4419
Practice Address - Country:US
Practice Address - Phone:856-857-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC060356001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical