Provider Demographics
NPI:1942466446
Name:FRANK-THOMAS, PHILIPPA GRACE (LCSW)
Entity Type:Individual
Prefix:
First Name:PHILIPPA
Middle Name:GRACE
Last Name:FRANK-THOMAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PHILIPPA
Other - Middle Name:FRANK
Other - Last Name:WILFEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:13 OCEAN PALM VILLA N
Mailing Address - Street 2:
Mailing Address - City:FLAGLER BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32136-4112
Mailing Address - Country:US
Mailing Address - Phone:585-739-5582
Mailing Address - Fax:
Practice Address - Street 1:208 S 6TH ST
Practice Address - Street 2:
Practice Address - City:FLAGLER BEACH
Practice Address - State:FL
Practice Address - Zip Code:32136-3691
Practice Address - Country:US
Practice Address - Phone:386-387-1897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW89121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical