Provider Demographics
NPI:1972522571
Name:CALDWELL, FRANCINE (LMSW,ACSW)
Entity Type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:
Last Name:CALDWELL
Suffix:
Gender:F
Credentials:LMSW,ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27600 GATEWAY DR E APT 205
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4921
Mailing Address - Country:US
Mailing Address - Phone:248-426-9516
Mailing Address - Fax:248-476-8986
Practice Address - Street 1:27600 GATEWAY DR E APT 205D
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4921
Practice Address - Country:US
Practice Address - Phone:248-426-9516
Practice Address - Fax:248-476-8986
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801073008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801073008OtherSTATE LIC