Provider Demographics
NPI:1093217390
Name:FRANK, DEBBIE S (LICSW)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:S
Last Name:FRANK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DEBORA
Other - Middle Name:S
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:5 ELLICOTT WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2871
Mailing Address - Country:US
Mailing Address - Phone:301-325-3086
Mailing Address - Fax:
Practice Address - Street 1:5 ELLICOTT WAY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2871
Practice Address - Country:US
Practice Address - Phone:301-325-3086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500787401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical