MEDICARE: MRS. FRANCES BECKER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	002381	CT

General Provider Information

NPI Number	:	1609872225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCES BECKER LCSW

Provider Business Mailing Address
First Line	:	5 OLD KINGS HWY
Second Line	:
City	:	OLD GREENWICH
State	:	CT
Zip	:	06870-1339
Country	:	US
Telephone Number	:	203-637-0278
Fax Number	:	203-276-7858

Provider Business Practice Location Address
First Line	:	91 EAST AVE
Second Line	:
City	:	NORWALK
State	:	CT
Zip	:	06851-5020
Country	:	US
Telephone Number	:	203-855-7768
Fax Number	:	203-276-7858

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	12/03/2010

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