Provider Demographics
NPI:1871208652
Name:STACEY M. FRANCONE, LCSW INC.
Entity type:Organization
Organization Name:STACEY M. FRANCONE, LCSW INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANCONE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-209-8690
Mailing Address - Street 1:262 E 3900 S STE 125
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-1500
Mailing Address - Country:US
Mailing Address - Phone:801-209-8690
Mailing Address - Fax:385-528-1636
Practice Address - Street 1:262 E 3900 S STE 125
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-1500
Practice Address - Country:US
Practice Address - Phone:801-209-8690
Practice Address - Fax:385-528-1636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty