Organization Active NPI

Kerry-Ann Frank, LCSW, LLC

  • Community/Behavioral Health Agency
  • North Haven, CT
National Provider Identifier
1922595560
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KERRY-ANN FRANK, LCSW, LLC
Practice address
451 State St
North Haven, CT 06473-3070
Phone
(475) 355-7655
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kerry-Ann Frank, LCSW
Title
Owner
Phone
(203) 535-2635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CT Primary

Addresses

Primary practice location

451 State St
North Haven, CT 06473-3070

Mailing address

65 Russo Ave Unit A5
East Haven, CT 06513-2750
Phone (475) 355-7655

Other identifiers 1

IdentifierTypeStateIssuer
1700294394MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1922595560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RUSSO AVE UNIT A5",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065132750",
            "telephone_number": "475-355-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733070",
            "telephone_number": "475-355-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY-ANN FRANK, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "KERRY-ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-535-2635",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700294394",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.