Provider Demographics
NPI:1275853103
Name:FRANCO, JONADAB SAMUEL (MSW, LCSW, LISW-CP)
Entity Type:Individual
Prefix:
First Name:JONADAB
Middle Name:SAMUEL
Last Name:FRANCO
Suffix:
Gender:M
Credentials:MSW, LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E GREEN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-3423
Mailing Address - Country:US
Mailing Address - Phone:910-817-9181
Mailing Address - Fax:800-878-9353
Practice Address - Street 1:304 E GREEN ST
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3423
Practice Address - Country:US
Practice Address - Phone:910-817-9181
Practice Address - Fax:800-878-9353
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044371041C0700X
SC73291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1275853103Medicaid
SCSW1383Medicaid