Provider Demographics
NPI:1801268719
Name:FRANCISQUE, ESTEPHA (LCSW)
Entity type:Individual
Prefix:
First Name:ESTEPHA
Middle Name:
Last Name:FRANCISQUE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:ESTEPHA
Other - Middle Name:
Other - Last Name:FRANCISQUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1266 TRACY CIR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-8585
Mailing Address - Country:US
Mailing Address - Phone:916-382-2733
Mailing Address - Fax:510-619-2022
Practice Address - Street 1:2940 SUMMIT ST STE 2C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3416
Practice Address - Country:US
Practice Address - Phone:916-382-2733
Practice Address - Fax:510-619-2022
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW853911041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical