Provider Demographics
NPI:1043537590
Name:FRANCIS, SHERRI SUZANNA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:SUZANNA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 WALDIE RD SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87105-3782
Mailing Address - Country:US
Mailing Address - Phone:505-553-5281
Mailing Address - Fax:
Practice Address - Street 1:1127 WALDIE RD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105-3782
Practice Address - Country:US
Practice Address - Phone:505-553-5281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-082441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM69528772Medicaid