Provider Demographics
NPI:1588659676
Name:FRANKLIN, ROBERT LEE (LMSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:MR
Other - First Name:BOB
Other - Middle Name:LEE
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:3276 E AUBRIETTA CT
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83716-6850
Mailing Address - Country:US
Mailing Address - Phone:208-336-6705
Mailing Address - Fax:208-336-6705
Practice Address - Street 1:90 HOPE DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME A F B
Practice Address - State:ID
Practice Address - Zip Code:83648-1057
Practice Address - Country:US
Practice Address - Phone:208-828-7580
Practice Address - Fax:208-828-3940
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-259451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical