Provider Demographics
NPI:1891880704
Name:FRANCIOSE-WEBBER, DIANE MARIE (MSW LICSW)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:MARIE
Last Name:FRANCIOSE-WEBBER
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:MARIE
Other - Last Name:FRANCIOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW LICSW
Mailing Address - Street 1:PO BOX 2023
Mailing Address - Street 2:52 NEW ESTATE RD
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-3023
Mailing Address - Country:US
Mailing Address - Phone:888-655-2268
Mailing Address - Fax:978-486-9818
Practice Address - Street 1:52 NEW ESTATE RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-3023
Practice Address - Country:US
Practice Address - Phone:888-655-2268
Practice Address - Fax:978-486-9818
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105044103T00000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP03215Medicare ID - Type Unspecified