Provider Demographics
NPI:1740317601
Name:VISCOSI, FRANCIS CHARLES (LCSW-R)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:CHARLES
Last Name:VISCOSI
Suffix:
Gender:M
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 HILLSIDE DR
Mailing Address - Street 2:BOX 514
Mailing Address - City:ORISKANY
Mailing Address - State:NY
Mailing Address - Zip Code:13424
Mailing Address - Country:US
Mailing Address - Phone:315-736-9695
Mailing Address - Fax:
Practice Address - Street 1:401 COLUMBIA ST
Practice Address - Street 2:SUITE 200
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-3413
Practice Address - Country:US
Practice Address - Phone:315-735-2236
Practice Address - Fax:315-735-9177
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR007775-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR007775-1OtherCLINICAL SOCIAL WORKER LI