Provider Demographics
NPI:1952736043
Name:FRANCO, RODRIGO NEY (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:RODRIGO
Middle Name:NEY
Last Name:FRANCO
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4328 W POINT LOMA BLVD APT H
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-1178
Mailing Address - Country:US
Mailing Address - Phone:530-392-8366
Mailing Address - Fax:
Practice Address - Street 1:1767 GRAND AVE STE 4
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-4400
Practice Address - Country:US
Practice Address - Phone:530-392-8366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-07
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NCC0084951041C0700X
CA715481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health