Provider Demographics
NPI:1235874751
Name:WITTE, FRANK (BS PLSW)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:WITTE
Suffix:
Gender:M
Credentials:BS PLSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 S LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26351-1149
Mailing Address - Country:US
Mailing Address - Phone:304-804-7185
Mailing Address - Fax:304-485-0618
Practice Address - Street 1:7 S LEWIS ST
Practice Address - Street 2:
Practice Address - City:GLENVILLE
Practice Address - State:WV
Practice Address - Zip Code:26351-1149
Practice Address - Country:US
Practice Address - Phone:304-804-7185
Practice Address - Fax:304-485-0618
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVPL122015716104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker