Provider Demographics
NPI:1700909611
Name:FRANCIS, JOIDA (LCSW / BCD)
Entity Type:Individual
Prefix:
First Name:JOIDA
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:LCSW / BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 261886
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33685-1886
Mailing Address - Country:US
Mailing Address - Phone:727-688-2544
Mailing Address - Fax:727-279-4870
Practice Address - Street 1:6601 MARINA POINTE VILLAGE CT
Practice Address - Street 2:APT 203
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-9036
Practice Address - Country:US
Practice Address - Phone:727-245-0145
Practice Address - Fax:727-279-4870
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW35301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5870Medicare ID - Type Unspecified