Provider Demographics
NPI:1851450647
Name:FRANKLIN, REBECCA ANNE (LSCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANNE
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18310 W 152ND TER APT 106
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3442
Mailing Address - Country:US
Mailing Address - Phone:913-708-4646
Mailing Address - Fax:844-884-5101
Practice Address - Street 1:11261 STRANG LINE RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4040
Practice Address - Country:US
Practice Address - Phone:913-708-4646
Practice Address - Fax:844-884-5101
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 19161041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS070646Medicare ID - Type UnspecifiedMEDICARE
KS200441310AMedicaid