Provider Demographics
NPI:1013234095
Name:LOPES, FRANK JOHN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JOHN
Last Name:LOPES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 IRWIN CT
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2527
Mailing Address - Country:US
Mailing Address - Phone:516-562-7486
Mailing Address - Fax:
Practice Address - Street 1:12 IRWIN CT
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2527
Practice Address - Country:US
Practice Address - Phone:516-652-7486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO24887-1103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst