Healthcare Provider Details

I. General information

NPI: 1861908915
Provider Name (Legal Business Name): TRACY LORRAINE FRANKS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2017
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 FARGO LN
IRVINGTON NY
10533-1237
US

IV. Provider business mailing address

41 FARGO LN
IRVINGTON NY
10533-1237
US

V. Phone/Fax

Practice location:
  • Phone: 914-309-7214
  • Fax:
Mailing address:
  • Phone: 914-309-7214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number100193-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: