Provider Demographics
NPI:1851849046
Name:FRANCE, STEPHANIE TALBOT (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:TALBOT
Last Name:FRANCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:ANNE
Other - Last Name:TALBOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:395 ELK ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-2707
Mailing Address - Country:US
Mailing Address - Phone:518-475-6600
Mailing Address - Fax:518-475-6612
Practice Address - Street 1:395 ELK ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-2707
Practice Address - Country:US
Practice Address - Phone:518-475-6600
Practice Address - Fax:518-475-6612
Is Sole Proprietor?:No
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730827711041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool