Provider Demographics
NPI:1518022102
Name:WALSH, FRANCINE R (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:R
Last Name:WALSH
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 1:15072 ASHLAND PL APT D123
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-4136
Mailing Address - Country:US
Mailing Address - Phone:516-551-9739
Mailing Address - Fax:
Practice Address - Street 1:17 FOXCROFT RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTER
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-551-9739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR-0355561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP3663522OtherOXFORD HEALTH PLAN
NY035556OtherHIP
NY114319OtherVALUE OPTIONS
NY7352680OtherGHI
NYP3624935OtherOXFORD HEALTH PLAN