Provider Demographics
NPI:1982710737
Name:FRANKLIN, CATHLEEN (LMSW)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:FRANKLIN
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 1:5955 W MAIN ST UNIT 212
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-9101
Mailing Address - Country:US
Mailing Address - Phone:269-599-3391
Mailing Address - Fax:269-585-5948
Practice Address - Street 1:5955 W MAIN ST UNIT 212
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-9101
Practice Address - Country:US
Practice Address - Phone:269-599-3391
Practice Address - Fax:269-585-5948
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010799461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P89166Medicare UPIN