Provider Demographics
NPI:1447037627
Name:CLEMENTE, FRANCHESCA I (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCHESCA
Middle Name:I
Last Name:CLEMENTE
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 1:526 MOUNTAINVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1310
Mailing Address - Country:US
Mailing Address - Phone:315-415-2473
Mailing Address - Fax:
Practice Address - Street 1:6315 FLY RD STE 104
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9316
Practice Address - Country:US
Practice Address - Phone:315-415-2473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0954761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical