Provider Demographics
NPI:1538779673
Name:GRAZIOLI, FRANCIS DANA (LCSW)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:DANA
Last Name:GRAZIOLI
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:GRAZIOLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:510 E 20TH ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-8303
Mailing Address - Country:US
Mailing Address - Phone:917-945-5199
Mailing Address - Fax:
Practice Address - Street 1:510 E 20TH ST APT 3C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-8303
Practice Address - Country:US
Practice Address - Phone:917-945-5199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0898081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical