Provider Demographics
NPI:1184007619
Name:FRANCIS, INGRID
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12911 SW 148TH STREET RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8302
Mailing Address - Country:US
Mailing Address - Phone:917-361-9847
Mailing Address - Fax:
Practice Address - Street 1:12911 SW 148TH STREET RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8302
Practice Address - Country:US
Practice Address - Phone:917-361-9847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0983041041C0700X
FLSW237361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical