Provider Demographics
NPI:1184654964
Name:FRANKLIN, NANCY BLAKE (LCSW, LMFT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:BLAKE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4203 GARDENDALE ST STE 221C
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3136
Mailing Address - Country:US
Mailing Address - Phone:210-593-4100
Mailing Address - Fax:210-593-4106
Practice Address - Street 1:4203 GARDENDALE ST STE 221C
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3136
Practice Address - Country:US
Practice Address - Phone:210-593-4100
Practice Address - Fax:210-593-4106
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical