Provider Demographics
NPI:1083094387
Name:FRANKLIN, JEARENNA ELIZABETH (ASW)
Entity Type:Individual
Prefix:
First Name:JEARENNA
Middle Name:ELIZABETH
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 WEST CAMPBELL AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008
Mailing Address - Country:US
Mailing Address - Phone:408-871-4900
Mailing Address - Fax:408-871-4903
Practice Address - Street 1:1600 W CAMPBELL AVE STE 201
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1526
Practice Address - Country:US
Practice Address - Phone:408-871-4900
Practice Address - Fax:408-871-4903
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW676431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical