Provider Demographics
NPI:1861576209
Name:FRANCIS, MERRI B (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MERRI
Middle Name:B
Last Name:FRANCIS
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 1:4120 CAMERON PARK DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-7212
Mailing Address - Country:US
Mailing Address - Phone:916-802-7102
Mailing Address - Fax:
Practice Address - Street 1:4120 CAMERON PARK DR
Practice Address - Street 2:SUITE 205
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-7212
Practice Address - Country:US
Practice Address - Phone:916-802-7102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS126461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical