Provider Demographics
NPI:1295165702
Name:SHAVER, FRANCES A (LCSW)
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:A
Last Name:SHAVER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WICKFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4122
Mailing Address - Country:US
Mailing Address - Phone:203-300-6047
Mailing Address - Fax:
Practice Address - Street 1:110 COURT ST STE 3
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-1273
Practice Address - Country:US
Practice Address - Phone:860-613-9930
Practice Address - Fax:860-613-9952
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW032241041C0700X, 1041C0700X
CT0105241041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical