Provider Demographics
NPI:1467551572
Name:FRANZ, PHYLLIS M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:PHYLLIS
Middle Name:M
Last Name:FRANZ
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 1:47 CARMEN HILL RD
Mailing Address - Street 2:PHYLLIS FRANZ LCSW
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776
Mailing Address - Country:US
Mailing Address - Phone:860-355-8331
Mailing Address - Fax:860-355-8331
Practice Address - Street 1:47 CARMEN HILL RD
Practice Address - Street 2:PHYLLIS FRANZ LCSW
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776
Practice Address - Country:US
Practice Address - Phone:860-355-8331
Practice Address - Fax:860-355-8331
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0039781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical