Healthcare Provider Details

I. General information

NPI: 1568749588
Provider Name (Legal Business Name): CYNTHIA W FRANKLIN LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2011
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2526 SAINT PAUL ST
BALTIMORE MD
21218-4982
US

IV. Provider business mailing address

2526 SAINT PAUL ST
BALTIMORE MD
21218-4982
US

V. Phone/Fax

Practice location:
  • Phone: 301-578-6657
  • Fax: 443-438-5561
Mailing address:
  • Phone: 410-383-8300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15793
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: