Provider Demographics
NPI:1821635244
Name:FRANCIS, ANWAR KEITH (LCSW)
Entity Type:Individual
Prefix:
First Name:ANWAR
Middle Name:KEITH
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 JULY ST APT 1116
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-2079
Mailing Address - Country:US
Mailing Address - Phone:337-412-0937
Mailing Address - Fax:
Practice Address - Street 1:3000 JULY ST APT 1116
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-2079
Practice Address - Country:US
Practice Address - Phone:337-412-0937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA139361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical