Healthcare Provider Details

I. General information

NPI: 1215979232
Provider Name (Legal Business Name): FRANCES ANTIONETTE JAMES LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 APOLLO DR STE 391
LARGO MD
20774-4783
US

IV. Provider business mailing address

9701 APOLLO DR STE 391
LARGO MD
20774-4783
US

V. Phone/Fax

Practice location:
  • Phone: 301-583-1181
  • Fax: 301-583-1184
Mailing address:
  • Phone: 301-583-1181
  • Fax: 301-583-1184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number09658
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: