Provider Demographics
NPI:1134658677
Name:FRANCIS, DANILLIE LYNN (LMSW)
Entity Type:Individual
Prefix:
First Name:DANILLIE
Middle Name:LYNN
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CARMEL WOODS DR
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63021-4783
Mailing Address - Country:US
Mailing Address - Phone:636-579-2100
Mailing Address - Fax:
Practice Address - Street 1:12255 DE PAUL DR STE 490
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2513
Practice Address - Country:US
Practice Address - Phone:314-344-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0217004024104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker