Provider Demographics
NPI:1962999706
Name:FRANK, ERIKO T (LICSW)
Entity type:Individual
Prefix:MS
First Name:ERIKO
Middle Name:T
Last Name:FRANK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:ERIKO
Other - Middle Name:
Other - Last Name:TAKAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:131 OLD ROAD TO NINE ACRE CORNER
Mailing Address - Street 2:JCB, SUITE 200
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-287-3428
Mailing Address - Fax:
Practice Address - Street 1:131 OLD ROAD TO NINE ACRE CORNER
Practice Address - Street 2:JOHN CUMIN BUILDING, SUITE 200
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742
Practice Address - Country:US
Practice Address - Phone:978-287-3428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical