Provider Demographics
NPI:1790263929
Name:REISTETTER, FRANCINE MARIA (LCSW-R)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:MARIA
Last Name:REISTETTER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3323
Mailing Address - Country:US
Mailing Address - Phone:518-366-6059
Mailing Address - Fax:
Practice Address - Street 1:790 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1541
Practice Address - Country:US
Practice Address - Phone:518-489-4431
Practice Address - Fax:518-489-5189
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0439421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical