Provider Demographics
NPI:1932210861
Name:BENNETT, FRANCIE KAY (LICSW)
Entity Type:Individual
Prefix:
First Name:FRANCIE
Middle Name:KAY
Last Name:BENNETT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB125, 14419 GREENWOOD AVE. N,
Mailing Address - Street 2:STE. A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-6865
Mailing Address - Country:US
Mailing Address - Phone:206-412-2924
Mailing Address - Fax:206-624-7626
Practice Address - Street 1:901 BOREN AVE
Practice Address - Street 2:STE.1300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-412-2924
Practice Address - Fax:206-624-7626
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00006240104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker