Provider Demographics
NPI:1700090032
Name:SMITH, FRANCES JACOBS (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:JACOBS
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 NANTUCKETT LN APT 204
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-2391
Mailing Address - Country:US
Mailing Address - Phone:704-975-8996
Mailing Address - Fax:
Practice Address - Street 1:5200 PARK RD STE 235-B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3650
Practice Address - Country:US
Practice Address - Phone:704-975-8996
Practice Address - Fax:704-975-8996
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0072041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC007204OtherLCSW