Provider Demographics
NPI:1841519865
Name:FRANK, MARCUS (LCSW, CFSW)
Entity type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:
Last Name:FRANK
Suffix:
Gender:M
Credentials:LCSW, CFSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 VALLEY VIEW DR.
Mailing Address - Street 2:SUITE B
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801
Mailing Address - Country:US
Mailing Address - Phone:307-683-0983
Mailing Address - Fax:
Practice Address - Street 1:291 S LAMBERT RD STE 6
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3559
Practice Address - Country:US
Practice Address - Phone:203-795-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-01
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA1205641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health