Provider Demographics
NPI:1497317887
Name:CONTRERAS HERNANDEZ, FRANCISCO JAVIER (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:CONTRERAS HERNANDEZ
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 1:2020 CHAPEL HILL RD.
Mailing Address - Street 2:STE.23
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707
Mailing Address - Country:US
Mailing Address - Phone:919-688-7101
Mailing Address - Fax:919-688-7102
Practice Address - Street 1:2020 CHAPEL HILL RD
Practice Address - Street 2:STE. 23
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-1184
Practice Address - Country:US
Practice Address - Phone:919-688-7101
Practice Address - Fax:919-688-7102
Is Sole Proprietor?:No
Enumeration Date:2019-07-05
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0152231041C0700X
NCP0149151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty