Provider Demographics
NPI:1861484941
Name:FRANKLAND, EILEEN NANCY SR (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:NANCY
Last Name:FRANKLAND
Suffix:SR
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 1:513 NE 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4607
Mailing Address - Country:US
Mailing Address - Phone:954-462-5353
Mailing Address - Fax:954-462-5393
Practice Address - Street 1:513 NE 6TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4607
Practice Address - Country:US
Practice Address - Phone:954-462-5353
Practice Address - Fax:954-462-5393
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW25941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6938Medicare ID - Type Unspecified