Healthcare Provider Details

I. General information

NPI: 1710831425
Provider Name (Legal Business Name): SAMUEL SANBORN FRANKLIN MSW, LCSWA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1143 EXECUTIVE CIR STE A
CARY NC
27511-4571
US

IV. Provider business mailing address

1057 DUNSFORD PL
CARY NC
27511-4804
US

V. Phone/Fax

Practice location:
  • Phone: 919-251-6492
  • Fax:
Mailing address:
  • Phone: 330-412-8869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023514
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: