Provider Demographics
NPI:1407050958
Name:IZZO, FRANCES (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:
Last Name:IZZO
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 1:953 E TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-1042
Mailing Address - Country:US
Mailing Address - Phone:310-503-2220
Mailing Address - Fax:162-685-2710
Practice Address - Street 1:1011 BALDWIN PARK BLVD.
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:90807
Practice Address - Country:US
Practice Address - Phone:626-851-7044
Practice Address - Fax:626-851-7100
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 186401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical