Provider Demographics
NPI:1578053682
Name:FRANCIS, ADAM (PHD, LCSW)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 25 RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1360
Mailing Address - Country:US
Mailing Address - Phone:970-245-4156
Mailing Address - Fax:970-245-7623
Practice Address - Street 1:561 25 RD STE 101
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1360
Practice Address - Country:US
Practice Address - Phone:970-245-4156
Practice Address - Fax:970-245-7623
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW92180101Y00000X
103TA0700X, 103T00000X
COCSW.099281421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical