Provider Demographics
NPI:1609872225
Name:BECKER, FRANCES (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:
Last Name:BECKER
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 1:5 OLD KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:OLD GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06870-1339
Mailing Address - Country:US
Mailing Address - Phone:203-637-0278
Mailing Address - Fax:203-276-7858
Practice Address - Street 1:91 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5020
Practice Address - Country:US
Practice Address - Phone:203-855-7768
Practice Address - Fax:203-276-7858
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0023811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT800002883Medicare UPIN
CT800002882Medicare UPIN