Healthcare Provider Details

I. General information

NPI: 1538206487
Provider Name (Legal Business Name): DAVID EUGENE FRANCIS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 03/30/2022
Certification Date: 03/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5904 E BANNISTER RD
KANSAS CITY MO
64134-1141
US

IV. Provider business mailing address

1555 NE RICE RD
LEES SUMMIT MO
64086-5849
US

V. Phone/Fax

Practice location:
  • Phone: 816-966-0903
  • Fax:
Mailing address:
  • Phone: 816-966-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3745
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2001026066
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: