Provider Demographics
NPI:1780193995
Name:JHA, FRANCES WALL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:WALL
Last Name:JHA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:FRANCES
Other - Middle Name:EMALYNN
Other - Last Name:WALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 E 28TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7448
Mailing Address - Country:US
Mailing Address - Phone:212-471-0754
Mailing Address - Fax:212-471-0790
Practice Address - Street 1:27 BARROW ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3823
Practice Address - Country:US
Practice Address - Phone:212-242-4140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0910321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical