Provider Demographics
NPI:1801334966
Name:FRANKE, CHRISTOPHER J (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:FRANKE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 CENTRAL AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-4488
Mailing Address - Country:US
Mailing Address - Phone:812-965-4550
Mailing Address - Fax:
Practice Address - Street 1:2225 CENTRAL AVE STE 2
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-4488
Practice Address - Country:US
Practice Address - Phone:812-965-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34007744A1041C0700X
IN33007123A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN264430577Medicare PIN
IN16490194Medicare PIN