Provider Demographics
NPI:1467649293
Name:FRANKLIN, KATHY ANN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 QUAINT ACRES DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2713
Mailing Address - Country:US
Mailing Address - Phone:310-622-5471
Mailing Address - Fax:
Practice Address - Street 1:101 QUAINT ACRES DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2713
Practice Address - Country:US
Practice Address - Phone:310-622-5471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD041471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD490514Medicare PIN