Provider Demographics
NPI:1134451115
Name:FRANCIS, JANEAN MICHAEL (LCSW)
Entity type:Individual
Prefix:
First Name:JANEAN
Middle Name:MICHAEL
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JANEAN
Other - Middle Name:MICHAEL
Other - Last Name:SLOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:REEDSPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97467-0132
Mailing Address - Country:US
Mailing Address - Phone:406-407-8032
Mailing Address - Fax:214-602-5295
Practice Address - Street 1:1877 WINCHESTER AVE STE 132
Practice Address - Street 2:
Practice Address - City:REEDSPORT
Practice Address - State:OR
Practice Address - Zip Code:97467-1148
Practice Address - Country:US
Practice Address - Phone:406-407-8032
Practice Address - Fax:214-602-5295
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT81641041C0700X
ORL121531041C0700X
NV5429-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500795773Medicaid