Provider Demographics
NPI:1699376566
Name:BAUTISTA, FRANCESCA (LSW)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:BAUTISTA
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 OUTWATER LN
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2606
Mailing Address - Country:US
Mailing Address - Phone:920-680-7190
Mailing Address - Fax:
Practice Address - Street 1:246 OUTWATER LN
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-2606
Practice Address - Country:US
Practice Address - Phone:920-680-7190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical