Provider Demographics
NPI:1689313991
Name:DEFRANCIS, JAMES (LGSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:DEFRANCIS
Suffix:
Gender:M
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 CONNECTICUT AVE NW APT 505
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1893
Mailing Address - Country:US
Mailing Address - Phone:301-787-3558
Mailing Address - Fax:
Practice Address - Street 1:5333 CONNECTICUT AVE NW APT 505
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1893
Practice Address - Country:US
Practice Address - Phone:301-787-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG2000014801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical