Provider Demographics
NPI:1225273758
Name:TREVINO-HARTMAN, ALLISON LANDY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LANDY
Last Name:TREVINO-HARTMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:LANDY- HARTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3580 NETHERLAND AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1672
Mailing Address - Country:US
Mailing Address - Phone:646-389-5801
Mailing Address - Fax:
Practice Address - Street 1:3580 NETHERLAND AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1672
Practice Address - Country:US
Practice Address - Phone:646-389-5801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72074392104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker