Provider Demographics
NPI:1477539427
Name:FRANKEL, MARSHA ANITA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:ANITA
Last Name:FRANKEL
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 1:77 HARVARD AVE
Mailing Address - Street 2:#1
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6243
Mailing Address - Country:US
Mailing Address - Phone:617-730-5959
Mailing Address - Fax:
Practice Address - Street 1:77 HARVARD AVE
Practice Address - Street 2:#1
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6243
Practice Address - Country:US
Practice Address - Phone:617-730-5959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1004271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01615Medicare UPIN