Provider Demographics
NPI:1497119226
Name:FRANK, CAROL (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:1106 UNIVERSITY BOULEVARD WEST
Mailing Address - Street 2:THE PATHWAYS SCHOOLS
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902
Mailing Address - Country:US
Mailing Address - Phone:301-649-0778
Mailing Address - Fax:301-649-2598
Practice Address - Street 1:1106 UNIVERSITY BOULEVARD WEST
Practice Address - Street 2:THE PATHWAYS SCHOOLS
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902
Practice Address - Country:US
Practice Address - Phone:301-649-0778
Practice Address - Fax:301-649-2598
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD064891041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool