Healthcare Provider Details

I. General information

NPI: 1053814715
Provider Name (Legal Business Name): AMBER R FRANCIA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2018
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 CONSTITUTION AVE NE CLINICAL LIAISONS
ALBUQUERQUE NM
87110
US

IV. Provider business mailing address

PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM
87125
US

V. Phone/Fax

Practice location:
  • Phone: 505-291-2134
  • Fax: 505-291-2967
Mailing address:
  • Phone: 505-291-2134
  • Fax: 505-291-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberX10325
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2022-0233
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: