Healthcare Provider Details

I. General information

NPI: 1467512442
Provider Name (Legal Business Name): FRANCES E ENGLANDER LPAT, ATR-BC, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

927 S 2ND ST
LOUISVILLE KY
40203-2275
US

IV. Provider business mailing address

PO BOX 2048
LOUISVILLE KY
40201-2048
US

V. Phone/Fax

Practice location:
  • Phone: 502-581-7257
  • Fax:
Mailing address:
  • Phone: 502-581-7257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34002777A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberKY-0002
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: