Provider Demographics
NPI:1518190875
Name:PENA, FRANCES (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:PENA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:PENA- LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:16095 SW 150TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-6559
Mailing Address - Country:US
Mailing Address - Phone:305-975-4049
Mailing Address - Fax:786-250-5532
Practice Address - Street 1:15160 SW 136TH ST UNIT 10
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-2664
Practice Address - Country:US
Practice Address - Phone:305-975-4049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW8150104100000X
NYR039029-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker