Provider Demographics
NPI:1972669760
Name:WEINTRAUB, FRANCES M (MSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:WEINTRAUB
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9374 OLIVE BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3253
Mailing Address - Country:US
Mailing Address - Phone:314-997-2424
Mailing Address - Fax:314-997-7824
Practice Address - Street 1:9374 OLIVE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-3253
Practice Address - Country:US
Practice Address - Phone:314-997-2424
Practice Address - Fax:314-997-7824
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2012-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0003011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO121483OtherBC BS ANTHEM
MO010508OtherVALUE OPTIONS
MO010508OtherVALUE OPTIONS