1669952792 NPI number — MRS. BARBARA FRANCONI SMITH LICSW

Table of content: MRS. BARBARA FRANCONI SMITH LICSW (NPI 1669952792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669952792 NPI number — MRS. BARBARA FRANCONI SMITH LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITH
Provider First Name:
BARBARA
Provider Middle Name:
FRANCONI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRANCONI
Provider Other First Name:
BARBARA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1669952792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
45 CUSHMAN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCHESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02770-1514
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-317-3359
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 CUSHMAN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCHESTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02770-1514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-317-3359
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/17/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  104206 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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