Healthcare Provider Details

I. General information

NPI: 1760818082
Provider Name (Legal Business Name): LISA FRANKS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 05/30/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28924 OLD TOWN FRONT ST STE 107
TEMECULA CA
92590-2857
US

IV. Provider business mailing address

28924 OLD TOWN FRONT ST STE 107
TEMECULA CA
92590-2857
US

V. Phone/Fax

Practice location:
  • Phone: 760-542-8366
  • Fax: 951-517-0075
Mailing address:
  • Phone: 248-688-8648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number99058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: