Provider Demographics
NPI:1699985523
Name:FRANK, LAWRENCE R (LCSW, LMFT, CADC,)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:R
Last Name:FRANK
Suffix:
Gender:M
Credentials:LCSW, LMFT, CADC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 E SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3545
Mailing Address - Country:US
Mailing Address - Phone:847-524-1505
Mailing Address - Fax:
Practice Address - Street 1:17 E SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3545
Practice Address - Country:US
Practice Address - Phone:847-524-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3700101YA0400X
IL149-0019161041C0700X
IL166-000230106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist