Provider Demographics
NPI:1801085717
Name:JOHNSON, FRANKYE E (MSW)
Entity type:Individual
Prefix:MS
First Name:FRANKYE
Middle Name:E
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6559 E 46TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-3666
Mailing Address - Country:US
Mailing Address - Phone:317-545-8618
Mailing Address - Fax:317-221-2370
Practice Address - Street 1:55 MONUMENT CIR
Practice Address - Street 2:SUITE 625
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2910
Practice Address - Country:US
Practice Address - Phone:317-955-5080
Practice Address - Fax:317-955-5081
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000480A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical