Healthcare Provider Details

I. General information

NPI: 1396317475
Provider Name (Legal Business Name): RACHEL MARIE FRANCIS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2021
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11260 ROGER BACON DR STE 103
RESTON VA
20190-5203
US

IV. Provider business mailing address

23116 FOXGLOVE WAY
CALIFORNIA MD
20619-4245
US

V. Phone/Fax

Practice location:
  • Phone: 571-934-3936
  • Fax:
Mailing address:
  • Phone: 703-577-7944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904018492
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: