Provider Demographics
NPI:1619212297
Name:FRANCISCO, KRISTIN M (LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:M
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:
Other - Last Name:FRANCISCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:KRISTIN LONG
Mailing Address - Street 1:2000 BREMO RD
Mailing Address - Street 2:STE 105
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-2440
Mailing Address - Country:US
Mailing Address - Phone:804-282-8332
Mailing Address - Fax:804-288-4558
Practice Address - Street 1:2000 BREMO RD
Practice Address - Street 2:STE 105
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2440
Practice Address - Country:US
Practice Address - Phone:804-282-8332
Practice Address - Fax:804-288-4558
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904007882V1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical