Provider Demographics
NPI:1891914255
Name:FRANKEL, RANDY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:RANDY
Middle Name:
Last Name:FRANKEL
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 1:125 ASHLAND PL
Mailing Address - Street 2:SUITE 12 D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3974
Mailing Address - Country:US
Mailing Address - Phone:917-751-1942
Mailing Address - Fax:718-624-5629
Practice Address - Street 1:125 ASHLAND PL
Practice Address - Street 2:SUITE 12 D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3974
Practice Address - Country:US
Practice Address - Phone:917-751-1942
Practice Address - Fax:718-624-5629
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR020835-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical