Provider Demographics
NPI:1235205626
Name:MYERS-ROUTT, FRANCES C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:C
Last Name:MYERS-ROUTT
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 1:12012 BOYETTE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5631
Mailing Address - Country:US
Mailing Address - Phone:813-443-2181
Mailing Address - Fax:813-443-5279
Practice Address - Street 1:12012 BOYETTE RD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5631
Practice Address - Country:US
Practice Address - Phone:813-443-2181
Practice Address - Fax:813-443-5279
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 40081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6622OtherBCBS