Provider Demographics
NPI:1952327678
Name:NELSON JR., FRANCIS NORMAN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:NORMAN
Last Name:NELSON JR.
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 1:2817 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-3610
Mailing Address - Country:US
Mailing Address - Phone:804-321-8223
Mailing Address - Fax:804-321-6029
Practice Address - Street 1:2817 NORTH AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-3610
Practice Address - Country:US
Practice Address - Phone:804-321-8223
Practice Address - Fax:804-321-6029
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA9045891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8906173Medicaid
VA8906173Medicaid