Provider Demographics
NPI:1306242755
Name:FRANCIS, LISSETTE (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:LISSETTE
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10518 WITTENBERG WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-7024
Mailing Address - Country:US
Mailing Address - Phone:407-552-2007
Mailing Address - Fax:689-216-8925
Practice Address - Street 1:6700 LAKE NONA BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7729
Practice Address - Country:US
Practice Address - Phone:689-216-8304
Practice Address - Fax:689-216-8304
Is Sole Proprietor?:No
Enumeration Date:2014-11-12
Last Update Date:2024-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW238901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical