Provider Demographics
NPI:1083342760
Name:BEJARANO, FRANCO DANIEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:FRANCO
Middle Name:DANIEL
Last Name:BEJARANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 ASTOR AVE SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-4839
Mailing Address - Country:US
Mailing Address - Phone:678-571-6006
Mailing Address - Fax:
Practice Address - Street 1:1124 ASTOR AVE SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-4839
Practice Address - Country:US
Practice Address - Phone:678-571-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0077451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical