Provider Demographics
NPI:1518546027
Name:FRANKE, KATI JO (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATI
Middle Name:JO
Last Name:FRANKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 SANDY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WARD
Mailing Address - State:AR
Mailing Address - Zip Code:72176-8005
Mailing Address - Country:US
Mailing Address - Phone:501-628-1276
Mailing Address - Fax:
Practice Address - Street 1:500 E MOUNTAIN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-2435
Practice Address - Country:US
Practice Address - Phone:501-286-6118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-03
Last Update Date:2021-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8904-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical