Provider Demographics
NPI:1033532353
Name:THORNTON-FRANKLIN, TRINA (MSW)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:
Last Name:THORNTON-FRANKLIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10829 S WOOD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-3417
Mailing Address - Country:US
Mailing Address - Phone:773-680-9916
Mailing Address - Fax:
Practice Address - Street 1:10829 S WOOD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-3417
Practice Address - Country:US
Practice Address - Phone:773-680-9916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL18023291041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool