Provider Demographics
NPI:1578857298
Name:HAGGERTY, FRANCIS (LCSW, MBA)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:
Last Name:HAGGERTY
Suffix:
Gender:M
Credentials:LCSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 THORNBROOK PL
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1518
Mailing Address - Country:US
Mailing Address - Phone:215-694-5854
Mailing Address - Fax:
Practice Address - Street 1:3209 THORNBROOK PL
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1518
Practice Address - Country:US
Practice Address - Phone:215-694-5854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-31
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0169241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical