Provider Demographics
NPI:1053611806
Name:FRANCIS, DUANE ANTHONY (LCSW)
Entity type:Individual
Prefix:MR
First Name:DUANE
Middle Name:ANTHONY
Last Name:FRANCIS
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 1:1830 1ST AVE
Mailing Address - Street 2:SUITE 12H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5768
Mailing Address - Country:US
Mailing Address - Phone:646-591-1264
Mailing Address - Fax:
Practice Address - Street 1:1830 1ST AVE
Practice Address - Street 2:SUITE 12H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5768
Practice Address - Country:US
Practice Address - Phone:646-591-1264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0828391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00244931Medicaid