Provider Demographics
NPI:1497005250
Name:FRANKLIN, MICHEAL CHAD (LCSW, MSW, BS)
Entity Type:Individual
Prefix:
First Name:MICHEAL
Middle Name:CHAD
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:LCSW, MSW, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36065 SANTE FE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT HOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76544
Mailing Address - Country:US
Mailing Address - Phone:254-285-6296
Mailing Address - Fax:254-287-5246
Practice Address - Street 1:36065 SANTE FE AVE.,
Practice Address - Street 2:
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544
Practice Address - Country:US
Practice Address - Phone:254-285-6296
Practice Address - Fax:254-287-5246
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK45211041C0700X
FLISW 69161041C0700X
FLSW124311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1497005250OtherDOD ARMY, FORT SILL, OKLAHOMA
OK1497005250Medicaid