Provider Demographics
NPI:1053190058
Name:MAXIME, FRANCES MARGUERITE (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARGUERITE
Last Name:MAXIME
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:MARGUERITE
Other - Last Name:MAXIME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6 NARCISSUS RD W
Mailing Address - Street 2:
Mailing Address - City:MASTIC BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11951-4725
Mailing Address - Country:US
Mailing Address - Phone:508-922-2004
Mailing Address - Fax:
Practice Address - Street 1:808 UNION STREET
Practice Address - Street 2:SUITE 3A, OFFICE 6
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:508-922-2004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096134-011041C0700X
FLSW217171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical