Provider Demographics
NPI:1659513844
Name:FRANK, MICHELLE KRISTI (PLMHP, PCMSW, MPA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KRISTI
Last Name:FRANK
Suffix:
Gender:F
Credentials:PLMHP, PCMSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-1128
Mailing Address - Country:US
Mailing Address - Phone:402-770-0739
Mailing Address - Fax:
Practice Address - Street 1:1533 N 27TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-1128
Practice Address - Country:US
Practice Address - Phone:402-770-0739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8817101YM0800X
NE66671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE347015000Medicaid