Provider Demographics
NPI:1558957647
Name:HENNESSEY, FRANCES L (LICSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:L
Last Name:HENNESSEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 REBELS WAY
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1064
Mailing Address - Country:US
Mailing Address - Phone:401-595-9303
Mailing Address - Fax:
Practice Address - Street 1:1260 PEARY ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02841-1610
Practice Address - Country:US
Practice Address - Phone:401-841-2283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1230661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical