Provider Demographics
NPI:1033848247
Name:FRANCISCO, ISABELLA (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1764 HERITAGE CENTER DR STE 202
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-4092
Mailing Address - Country:US
Mailing Address - Phone:984-235-7595
Mailing Address - Fax:984-235-7054
Practice Address - Street 1:1764 HERITAGE CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-4092
Practice Address - Country:US
Practice Address - Phone:984-235-7595
Practice Address - Fax:984-235-7054
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NC1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health