Provider Demographics
NPI:1881168599
Name:FRANK, JONATHAN (LCSW)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:FRANK
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 1:42-23 NAUGLE DR
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5938
Mailing Address - Country:US
Mailing Address - Phone:201-686-3203
Mailing Address - Fax:
Practice Address - Street 1:42-23 NAUGLE DR
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5938
Practice Address - Country:US
Practice Address - Phone:201-686-3203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical