Provider Demographics
NPI:1790055069
Name:FRANCINI, KELLY BARTLETT (LCSW)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:BARTLETT
Last Name:FRANCINI
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 1:39 INWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1809
Mailing Address - Country:US
Mailing Address - Phone:973-864-4835
Mailing Address - Fax:
Practice Address - Street 1:206 MAIN ST
Practice Address - Street 2:SUITE 22
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1158
Practice Address - Country:US
Practice Address - Phone:973-864-4835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053311001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical