Provider Demographics
NPI:1225451172
Name:MCLAURIN, FRANKIE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:FRANKIE
Middle Name:
Last Name:MCLAURIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1060
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-0994
Mailing Address - Country:US
Mailing Address - Phone:347-743-7610
Mailing Address - Fax:
Practice Address - Street 1:66 W 138TH ST
Practice Address - Street 2:APT 2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1716
Practice Address - Country:US
Practice Address - Phone:347-674-9493
Practice Address - Fax:917-725-8752
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088185104100000X
NY0854811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker