Provider Demographics
NPI:1821649500
Name:FRANKEL, SHIMON (LCSW)
Entity Type:Individual
Prefix:
First Name:SHIMON
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 ROUTE 9 STE C12
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-4018
Mailing Address - Country:US
Mailing Address - Phone:732-604-3799
Mailing Address - Fax:
Practice Address - Street 1:2380 ROUTE 9 STE C12
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-4018
Practice Address - Country:US
Practice Address - Phone:732-604-3799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056043001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical