Provider Demographics
NPI:1821378639
Name:VADAS, FRANCES ADELE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:ADELE
Last Name:VADAS
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 1:31 TRINITY PL
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2773
Mailing Address - Country:US
Mailing Address - Phone:609-290-3437
Mailing Address - Fax:
Practice Address - Street 1:31 TRINITY PL
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2773
Practice Address - Country:US
Practice Address - Phone:609-290-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2017-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053245001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
104100000XOtherBLUE CROSS BLUE SHIELD
104100000XOtherAETNA
104100000XOtherCIGNA
NJ104100000XMedicaid
104100000XMedicare PIN
104100000XOtherAETNA