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Provider Information for 1225613920


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TANGELA FRANCIS LCSW


Sex: Female

NPI: 1225613920
Last Updated: 2021-03-14
Certification Date: 2021-03-14

Details

NameValue
NPI1225613920
Enumeration Date2021-03-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3202 ECHOLS CT
HAMPTON, VA 23666-4532
United States

Phone: 757-389-3272 | Fax:
 
Primary Practice Address 3202 ECHOLS CT
HAMPTON, VA 23666-4532
United States

Phone: 175-738-9327 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)VA090402636SW LICENSE
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalVA0904012636