Provider Demographics
NPI:1992258529
Name:GONZALES, FRANKE (MSW, CAC)
Entity type:Individual
Prefix:
First Name:FRANKE
Middle Name:
Last Name:GONZALES
Suffix:
Gender:F
Credentials:MSW, CAC
Other - Prefix:
Other - First Name:FRANKE
Other - Middle Name:
Other - Last Name:STRICKLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, CAC
Mailing Address - Street 1:1807 WILLIAMS ST
Mailing Address - Street 2:PO BOX 188
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-1142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1807 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-1142
Practice Address - Country:US
Practice Address - Phone:605-347-2991
Practice Address - Fax:605-347-4944
Is Sole Proprietor?:No
Enumeration Date:2016-08-01
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD311566039Medicaid