Provider Demographics
NPI:1912336546
Name:ADAMS, FRANCINE (MBA, LCSW)
Entity Type:Individual
Prefix:MISS
First Name:FRANCINE
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MBA, LCSW
Other - Prefix:MISS
Other - First Name:ALTONIO
Other - Middle Name:
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:400 RENAISSANCE CTR STE 2655
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48243-1502
Mailing Address - Country:US
Mailing Address - Phone:567-277-6942
Mailing Address - Fax:313-308-7101
Practice Address - Street 1:400 RENAISSANCE CTR STE 2655
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48243-1502
Practice Address - Country:US
Practice Address - Phone:567-277-6942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA46-4028388103K00000X, 103TC2200X, 171000000X, 171M00000X, 225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No171000000XOther Service ProvidersMilitary Health Care Provider
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11111111111112Medicaid
GA46-4028388Medicare PIN