Provider Demographics
NPI:1215089164
Name:FRANKLIN, GWENDOLYN JEAN (MS, LCSW)
Entity type:Individual
Prefix:
First Name:GWENDOLYN
Middle Name:JEAN
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:GWENDOLYN
Other - Middle Name:JEAN
Other - Last Name:DENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1023 FAIRFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-6607
Mailing Address - Country:US
Mailing Address - Phone:910-550-3803
Mailing Address - Fax:407-479-3846
Practice Address - Street 1:803 STAMPER RD STE G
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4193
Practice Address - Country:US
Practice Address - Phone:910-223-7114
Practice Address - Fax:910-672-7953
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0015601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical