Provider Demographics
NPI:1104272756
Name:TRAN, TRISHA (LCSW)
Entity type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9032 MEMORIAL PKWY SW STE A
Mailing Address - Street 2:#1154
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-3013
Mailing Address - Country:US
Mailing Address - Phone:949-357-0175
Mailing Address - Fax:
Practice Address - Street 1:18881 VON KARMAN AVE STE 220E
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1500
Practice Address - Country:US
Practice Address - Phone:949-357-0175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW875011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical