Provider Demographics
NPI:1386877553
Name:FRANK, CLIFFORD P (LCSW)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:P
Last Name:FRANK
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 1:585 SCHENECTADY AVE
Mailing Address - Street 2:PSYCHIATRY DEPARTMENT
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-1891
Mailing Address - Country:US
Mailing Address - Phone:718-604-5239
Mailing Address - Fax:718-604-5468
Practice Address - Street 1:585 SCHENECTADY AVE
Practice Address - Street 2:PSYCHIATRY DEPARTMENT
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1891
Practice Address - Country:US
Practice Address - Phone:718-604-4795
Practice Address - Fax:718-604-5468
Is Sole Proprietor?:No
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0706401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical