Basic Information
| Provider Information | |||||||||
| NPI: | 1497129266 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TRISH HENNING, MSW, CAP, LCSW, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2270 DREW ST STE C | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337653344 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277848244 | ||||||||
| FaxNumber: | 7272879302 | ||||||||
| Practice Location | |||||||||
| Address1: | 2270 DREW ST STE C | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337653344 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7277848244 | ||||||||
| FaxNumber: | 7272879302 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/17/2015 | ||||||||
| LastUpdateDate: | 11/17/2015 | ||||||||
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| AuthorizedOfficialLastName: | HENNING | ||||||||
| AuthorizedOfficialFirstName: | TRISH | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | MSW, CAP, LCSW | ||||||||
| AuthorizedOfficialTelephone: | 7277848244 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MISS | ||||||||
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| AuthorizedOfficialCredential: | MSW, CAP, LCSW | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | SW11813 | FL | Y | Agencies | Community/Behavioral Health |
No ID Information.