Provider Demographics
NPI:1992775316
Name:FRANCIS, CECILIA DIANA (PHD; R-LCSW)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:DIANA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PHD; R-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 WESTMINSTER RD
Mailing Address - Street 2:SUITE A20
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1451
Mailing Address - Country:US
Mailing Address - Phone:718-693-2703
Mailing Address - Fax:718-693-6073
Practice Address - Street 1:570 WESTMINSTER RD
Practice Address - Street 2:SUITE A20
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1451
Practice Address - Country:US
Practice Address - Phone:718-693-2703
Practice Address - Fax:718-693-6073
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR031684-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02218808Medicaid
NYP44621Medicare UPIN
NY02218808Medicaid