Provider Demographics
NPI:1689904609
Name:FRANKS, AMANDA GOBLE (LCSW)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:GOBLE
Last Name:FRANKS
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 1:486 SPAULDING RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-5212
Mailing Address - Country:US
Mailing Address - Phone:828-652-2919
Mailing Address - Fax:828-652-2981
Practice Address - Street 1:2651 MORGANTON BLVD SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645
Practice Address - Country:US
Practice Address - Phone:828-757-8950
Practice Address - Fax:828-757-8968
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0072921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007854Medicaid