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NPI Code Detail

MEDICARE: MS. PORTIA FRANKLIN LCSW

MEDICARE: MS. PORTIA FRANKLIN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR041122NY

General Provider Information

NPI Number : 1104028182
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PORTIA FRANKLIN LCSW
Provider Business Mailing Address
First Line : 55 W 14TH ST
Second Line : APT. 10G
City : NEW YORK
State : NY
Zip : 10011-7407
Country : US
Telephone Number : 212-741-0719
Fax Number :
Provider Business Practice Location Address
First Line : 1379 LEXINGTON AVE
Second Line : SUITE 1C
City : NEW YORK
State : NY
Zip : 10128-1512
Country : US
Telephone Number : 212-427-6921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2007
Last Update Date : 07/08/2007

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Directions to “ MS. PORTIA FRANKLIN LCSW” Practice Location

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