Provider Demographics
NPI:1225179765
Name:TROWBRIDGE, MARIA G (MSW CSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:MSW CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-3017
Mailing Address - Country:US
Mailing Address - Phone:631-750-5162
Mailing Address - Fax:
Practice Address - Street 1:89 ELM ST
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-3017
Practice Address - Country:US
Practice Address - Phone:631-750-5162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035578-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker