Provider Demographics
NPI:1851689459
Name:FRANKLIN, KAMILAH S (MSW, LCSW, RN-BSN)
Entity Type:Individual
Prefix:MRS
First Name:KAMILAH
Middle Name:S
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MSW, LCSW, RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2354
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27285-2354
Mailing Address - Country:US
Mailing Address - Phone:919-633-1664
Mailing Address - Fax:
Practice Address - Street 1:1850 BEESON PARK LN
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-6527
Practice Address - Country:US
Practice Address - Phone:919-633-1664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-16
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104100000X, 171M00000X
NC306198163W00000X, 163WC0400X
NCC0073151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007914Medicaid
NCQ382830281Medicare UPIN