Provider Demographics
NPI:1861794794
Name:FRANK, ANGELA CHRISTINE (LICSW)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:CHRISTINE
Last Name:FRANK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 WARNER ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1622
Mailing Address - Country:US
Mailing Address - Phone:207-608-0598
Mailing Address - Fax:
Practice Address - Street 1:55 NORTH RD STE 220
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1078
Practice Address - Country:US
Practice Address - Phone:774-314-1318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY077064-11041C0700X
MA1181981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical