Provider Demographics
NPI:1245301811
Name:CARPENTER, FRANCES BRADLEY (MSW LICSW)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:BRADLEY
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SOUTH MAIN ST
Mailing Address - Street 2:3
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903
Mailing Address - Country:US
Mailing Address - Phone:401-751-6966
Mailing Address - Fax:401-490-9125
Practice Address - Street 1:203 SOUTH MAIN ST
Practice Address - Street 2:3
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903
Practice Address - Country:US
Practice Address - Phone:401-751-6966
Practice Address - Fax:401-490-9125
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI1SW013221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical