Healthcare Provider Details

I. General information

NPI: 1518207158
Provider Name (Legal Business Name): DUSTIN FRANCIS MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13742 FLINTLOCK DR
SPRING HILL FL
34609-0726
US

IV. Provider business mailing address

13742 FLINTLOCK DR
SPRING HILL FL
34609-0726
US

V. Phone/Fax

Practice location:
  • Phone: 917-406-7443
  • Fax:
Mailing address:
  • Phone: 917-406-7443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW023293
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: