Provider Demographics
NPI:1285721845
Name:FRAME, REBECCA ANJANETTE (LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANJANETTE
Last Name:FRAME
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ANJANETTE
Other - Last Name:WEIKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:421 N SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-1228
Mailing Address - Country:US
Mailing Address - Phone:209-747-4831
Mailing Address - Fax:
Practice Address - Street 1:421 N SCHOOL ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-1228
Practice Address - Country:US
Practice Address - Phone:209-747-4831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS191091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical