Provider Demographics
NPI:1013006055
Name:FRANK, SUSAN B (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:B
Last Name:FRANK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 GROVE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-2220
Mailing Address - Country:US
Mailing Address - Phone:804-359-2424
Mailing Address - Fax:804-359-0029
Practice Address - Street 1:3500 GROVE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-2220
Practice Address - Country:US
Practice Address - Phone:804-359-2424
Practice Address - Fax:804-359-0029
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040005721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical