Healthcare Provider Details

I. General information

NPI: 1336515899
Provider Name (Legal Business Name): FRANCESCA JENKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 RODEO RD
SANTA FE NM
87505-6813
US

IV. Provider business mailing address

1475 RODEO RD
SANTA FE NM
87505-6813
US

V. Phone/Fax

Practice location:
  • Phone: 858-722-9365
  • Fax: 505-344-9343
Mailing address:
  • Phone: 858-722-9365
  • Fax: 505-344-9343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSWOO7405
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSB-SWB-2024-0488
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: