Provider Demographics
NPI:1174308597
Name:FRAKES, WHITNEY (LLMSW)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:FRAKES
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 WILSON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4418
Mailing Address - Country:US
Mailing Address - Phone:906-360-4445
Mailing Address - Fax:
Practice Address - Street 1:2825 WIENEKE RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2600
Practice Address - Country:US
Practice Address - Phone:989-262-7385
Practice Address - Fax:989-652-3916
Is Sole Proprietor?:No
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511164831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical