Provider Demographics
NPI:1710064829
Name:FRANK, LUNA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LUNA
Middle Name:
Last Name:FRANK
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 1:51 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2313
Mailing Address - Country:US
Mailing Address - Phone:516-295-3797
Mailing Address - Fax:718-206-7083
Practice Address - Street 1:14437 68TH DR
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1737
Practice Address - Country:US
Practice Address - Phone:718-261-6862
Practice Address - Fax:718-206-7083
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR043978-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01751835Medicaid
UT62-42788OtherUNITED BEHAVIORAL HEALTH
TX62-42788OtherAETNA
CTP424307OtherOXFORD
NY1053050OtherAFFINITY
CA269046OtherMHN
NY7331659OtherVALUE OPTIONS
CTP424307OtherOXFORD