Provider Demographics
NPI:1023091527
Name:SMALL, FRANKIE ANNE (EDD EDS MSW LCSW)
Entity type:Individual
Prefix:DR
First Name:FRANKIE
Middle Name:ANNE
Last Name:SMALL
Suffix:
Gender:F
Credentials:EDD EDS MSW LCSW
Other - Prefix:
Other - First Name:FRANKIE
Other - Middle Name:ANNE
Other - Last Name:CARTLEDGE SMALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDDEDSMSWLCSW
Mailing Address - Street 1:137 S PEBBLE BEACH BLVD STE 202A
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5708
Mailing Address - Country:US
Mailing Address - Phone:850-232-2148
Mailing Address - Fax:813-330-3339
Practice Address - Street 1:137 S PEBBLE BEACH BLVD STE 202A
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5708
Practice Address - Country:US
Practice Address - Phone:850-232-2148
Practice Address - Fax:813-330-3339
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW75781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015947500Medicaid
FLZ071JYMedicare UPIN