Healthcare Provider Details

I. General information

NPI: 1124172382
Provider Name (Legal Business Name): FRANCINE JOY HANNIGAN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 BALTIMORE BLVD SUITE C
WESTMINSTER MD
21157-7146
US

IV. Provider business mailing address

603 ROUNDTREE CT
ELDERSBURG MD
21784-8958
US

V. Phone/Fax

Practice location:
  • Phone: 410-751-6176
  • Fax:
Mailing address:
  • Phone: 410-795-1351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12024
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: