Provider Demographics
NPI:1184844086
Name:FRANK, JUDITH R (MSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:R
Last Name:FRANK
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12114 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3324
Mailing Address - Country:US
Mailing Address - Phone:301-762-0145
Mailing Address - Fax:
Practice Address - Street 1:4831 WEST LN
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-5389
Practice Address - Country:US
Practice Address - Phone:301-761-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD53171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4311OtherBCBS
MDQ23OtherBCBS