Provider Demographics
NPI:1760778096
Name:DEFRANCIA, GEORGIA (LCSW)
Entity Type:Individual
Prefix:
First Name:GEORGIA
Middle Name:
Last Name:DEFRANCIA
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 1:29 EUCLID BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4509
Mailing Address - Country:US
Mailing Address - Phone:828-215-8477
Mailing Address - Fax:
Practice Address - Street 1:959 MERRIMON AVE STE 8B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2353
Practice Address - Country:US
Practice Address - Phone:828-215-8477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-24
Last Update Date:2023-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0045951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002757Medicaid