Provider Demographics
NPI:1396099792
Name:KIRBY, FRANK GEORGE JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:GEORGE
Last Name:KIRBY
Suffix:JR
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 1:2706 LILAC CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2336
Mailing Address - Country:US
Mailing Address - Phone:863-370-3625
Mailing Address - Fax:
Practice Address - Street 1:2706 LILAC CT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78261-2336
Practice Address - Country:US
Practice Address - Phone:863-370-3625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW110851041C0700X
IL1490144361041C0700X
TX573181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical