Provider Demographics
NPI:1508569435
Name:GERLACH, FRANK JR (LSW)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:GERLACH
Suffix:JR
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 MULBERRY ST
Mailing Address - Street 2:
Mailing Address - City:CATASAUQUA
Mailing Address - State:PA
Mailing Address - Zip Code:18032-1827
Mailing Address - Country:US
Mailing Address - Phone:610-762-4436
Mailing Address - Fax:
Practice Address - Street 1:333 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:CATASAUQUA
Practice Address - State:PA
Practice Address - Zip Code:18032-1827
Practice Address - Country:US
Practice Address - Phone:610-762-4436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW130774104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker