Provider Demographics
NPI:1326241381
Name:REYNOSO-MARAGE, FRANCESCA MARAGE (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:MARAGE
Last Name:REYNOSO-MARAGE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 JEROME AVENUE
Mailing Address - Street 2:F.E.G.S
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-881-7600
Mailing Address - Fax:718-515-8057
Practice Address - Street 1:50 E 168TH ST # 98
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-7929
Practice Address - Country:US
Practice Address - Phone:718-293-3900
Practice Address - Fax:718-293-3980
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY073995-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker