Provider Demographics
NPI:1124229844
Name:WARREN'DIAL, TRENAE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TRENAE
Middle Name:
Last Name:WARREN'DIAL
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:PO BOX 2524
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-1524
Mailing Address - Country:US
Mailing Address - Phone:310-850-5802
Mailing Address - Fax:562-923-8534
Practice Address - Street 1:4401 ATLANTIC AVE
Practice Address - Street 2:SUITE 231
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2218
Practice Address - Country:US
Practice Address - Phone:562-984-2012
Practice Address - Fax:562-984-2001
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA218141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical