MEDICARE: FRANKIE SMALL

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
1	1041C0700X	Clinical Social Worker	SW7578	FL

General Provider Information

NPI Number	:	1336650233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKIE SMALL

Provider Business Mailing Address
First Line	:	137 S PEBBLE BEACH BLVD STE 202A
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5708
Country	:	US
Telephone Number	:	850-232-2148
Fax Number	:	813-330-3339

Provider Business Practice Location Address
First Line	:	137 S PEBBLE BEACH BLVD STE 202H
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5708
Country	:	US
Telephone Number	:	850-232-2148
Fax Number	:	813-330-3339

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	FRANKIE ANNE SMALL
Credential	:	LCSW
Telephone Number	:	850-232-2148

Provider Enumeration Date	:	10/18/2017
Last Update Date	:	11/06/2023

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