Provider Demographics
NPI:1194455527
Name:KULESA, FRANCIS (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:KULESA
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 SEMINARY RD APT 301N
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-5102
Mailing Address - Country:US
Mailing Address - Phone:571-353-5318
Mailing Address - Fax:
Practice Address - Street 1:7630 LITTLE RIVER TPKE
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2643
Practice Address - Country:US
Practice Address - Phone:833-698-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2025-03-21
Deactivation Date:2024-01-30
Deactivation Code:
Reactivation Date:2025-03-21
Provider Licenses
StateLicense IDTaxonomies
VA09040138121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical