Provider Demographics
NPI:1619900719
Name:GRESS, FRANCES H (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:H
Last Name:GRESS
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 1:1026 1ST ST SW
Mailing Address - Street 2:ABUNDANT LIFE
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4402
Mailing Address - Country:US
Mailing Address - Phone:540-981-0283
Mailing Address - Fax:540-344-7154
Practice Address - Street 1:1026 1ST ST SW
Practice Address - Street 2:FRANCES H GRESS LCSW
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4402
Practice Address - Country:US
Practice Address - Phone:540-344-4600
Practice Address - Fax:540-344-0793
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904001491101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
114738OtherANTHEM
R65833Medicare UPIN