Provider Demographics
NPI:1134771322
Name:FRANCOIS, MIKAYLA (LCSW)
Entity type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:
Last Name:FRANCOIS
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 1:96 WEST ST APT 2
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-3090
Mailing Address - Country:US
Mailing Address - Phone:857-544-4860
Mailing Address - Fax:
Practice Address - Street 1:727 ATLANTIC AVE # 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-2810
Practice Address - Country:US
Practice Address - Phone:617-542-7286
Practice Address - Fax:617-542-9545
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219039104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker