Provider Demographics
NPI:1932358066
Name:ALBRIGHT, FRAN MARIE (ACSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FRAN
Middle Name:MARIE
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:ACSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5115 FLAMETREE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-2415
Mailing Address - Country:US
Mailing Address - Phone:314-974-0989
Mailing Address - Fax:314-845-6818
Practice Address - Street 1:5115 FLAMETREE CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-2415
Practice Address - Country:US
Practice Address - Phone:314-974-0989
Practice Address - Fax:314-845-6818
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000492101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO77661OtherMEDICARE PROVIDER NUMBER