Provider Demographics
NPI:1497005250
Name:FRANKLIN, MICHEAL CHAD (LCSW-S, MSW, BS)
Entity type:Individual
Prefix:
First Name:MICHEAL
Middle Name:CHAD
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:LCSW-S, MSW, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5473 BLAIR RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4227
Mailing Address - Country:US
Mailing Address - Phone:512-439-3555
Mailing Address - Fax:
Practice Address - Street 1:5473 BLAIR RD STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4227
Practice Address - Country:US
Practice Address - Phone:512-439-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW12431101YA0400X, 1041C0700X
OK9107101YA0400X, 1041C0700X
UT13684367-3501101YA0400X, 1041C0700X
TX1111641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1497005250Medicaid
OK1497005250Medicaid