Provider Demographics
NPI:1093067563
Name:FRANKLIN, CATHLEEN ANNE CASTLE (LMSW, LISW)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:ANNE CASTLE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LMSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4738 SOUTHERN AVE SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-3440
Mailing Address - Country:US
Mailing Address - Phone:505-274-0296
Mailing Address - Fax:
Practice Address - Street 1:4738 SOUTHERN AVE SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-3440
Practice Address - Country:US
Practice Address - Phone:505-274-0296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMM-06766104100000X
NMX-077791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical