Provider Demographics
NPI:1891410916
Name:SMITH, FRANK MARTIN IV
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:MARTIN
Last Name:SMITH
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 N PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1417
Mailing Address - Country:US
Mailing Address - Phone:404-717-5693
Mailing Address - Fax:
Practice Address - Street 1:1909 N PENNSYLVANIA ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1417
Practice Address - Country:US
Practice Address - Phone:404-717-5693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker