Provider Demographics
NPI:1861081176
Name:FRANKS, EVAN MICHAEL (LCSW)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:MICHAEL
Last Name:FRANKS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 KINNAMAN AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-1575
Mailing Address - Country:US
Mailing Address - Phone:908-328-8736
Mailing Address - Fax:
Practice Address - Street 1:100 TRACEY CT UNIT 102
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2830
Practice Address - Country:US
Practice Address - Phone:908-246-9391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06261500104100000X
NJ44SC060243001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker