Provider Demographics
NPI:1588386205
Name:HIZA, FRANCIE EMERY (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCIE
Middle Name:EMERY
Last Name:HIZA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4845 PEARL EAST CIR STE 118
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-6112
Mailing Address - Country:US
Mailing Address - Phone:720-907-3767
Mailing Address - Fax:
Practice Address - Street 1:4845 PEARL EAST CIR STE 118
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-6112
Practice Address - Country:US
Practice Address - Phone:720-907-3767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLCSW.099291141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical