Provider Demographics
NPI:1023407764
Name:FRANK, KATHERINE ANNE (LMSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANNE
Last Name:FRANK
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3014 WALCOTT ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48601-4631
Mailing Address - Country:US
Mailing Address - Phone:303-720-9039
Mailing Address - Fax:
Practice Address - Street 1:3014 WALCOTT ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-4631
Practice Address - Country:US
Practice Address - Phone:303-720-9039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-19
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
COY800654Medicaid