Provider Demographics
NPI:1225731110
Name:TENORIO, FRANK THOMAS (MSW, LSW, LMT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:THOMAS
Last Name:TENORIO
Suffix:
Gender:M
Credentials:MSW, LSW, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 MISTY LN
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8502
Mailing Address - Country:US
Mailing Address - Phone:414-305-0120
Mailing Address - Fax:
Practice Address - Street 1:53 MISTY LN
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8502
Practice Address - Country:US
Practice Address - Phone:414-305-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.00099239731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical