Provider Demographics
NPI:1477652568
Name:HACKNEY, FRANCES M (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:M
Last Name:HACKNEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 W. ST JOSEPH HWY.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4028
Mailing Address - Country:US
Mailing Address - Phone:517-323-4099
Mailing Address - Fax:517-323-3334
Practice Address - Street 1:5123 W. ST JOSEPH HWY.
Practice Address - Street 2:SUITE 103
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4028
Practice Address - Country:US
Practice Address - Phone:517-323-4099
Practice Address - Fax:517-323-3334
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010053991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0890381OtherBLUE CROSS POS
MI457616000OtherMAGELLAN
MI0890381OtherBLUE CROSS POS