Provider Demographics
NPI:1356596225
Name:FRANCELLA, XIMENA (LCSW-R)
Entity type:Individual
Prefix:
First Name:XIMENA
Middle Name:
Last Name:FRANCELLA
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1993 PALMER AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2439
Mailing Address - Country:US
Mailing Address - Phone:917-863-8151
Mailing Address - Fax:914-576-1009
Practice Address - Street 1:1993 PALMER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2439
Practice Address - Country:US
Practice Address - Phone:917-863-8151
Practice Address - Fax:914-576-1009
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO39366-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical