Provider Demographics
NPI:1689101792
Name:GAUDIO, FRANCA A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:FRANCA
Middle Name:A
Last Name:GAUDIO
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 1:123 NW 13TH ST
Mailing Address - Street 2:SUITE 222
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:123 NW 13TH ST STE 222
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1619
Practice Address - Country:US
Practice Address - Phone:252-622-0836
Practice Address - Fax:561-892-0268
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW152701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical