Provider Demographics
NPI:1609315043
Name:FRANKOVICH, CARMELA (LCSW)
Entity Type:Individual
Prefix:
First Name:CARMELA
Middle Name:
Last Name:FRANKOVICH
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 1:5700 HILLCREST LN APT 2A
Mailing Address - Street 2:
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-2575
Mailing Address - Country:US
Mailing Address - Phone:815-603-2869
Mailing Address - Fax:
Practice Address - Street 1:5700 HILLCREST LN
Practice Address - Street 2:APT 2A
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-2575
Practice Address - Country:US
Practice Address - Phone:815-603-2869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0188531041C0700X
IL1500149431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical