MEDICARE: AUTUMN FRANCISCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	I.2506520	OH

General Provider Information

NPI Number	:	1689349003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUTUMN FRANCISCO

Provider Business Mailing Address
First Line	:	5340 E MAIN ST STE 107
Second Line	:
City	:	WHITEHALL
State	:	OH
Zip	:	43213-2574
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1424 FRANKLIN AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2004
Country	:	US
Telephone Number	:	614-398-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2021
Last Update Date	:	04/23/2026

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Directions to “ AUTUMN FRANCISCO ” Practice Location

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