Provider Demographics
NPI:1275815342
Name:TRENARY, CAROLINE L (LGSW)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:L
Last Name:TRENARY
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E BURR BLVD
Mailing Address - Street 2:
Mailing Address - City:KEARNEYSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25430-4793
Mailing Address - Country:US
Mailing Address - Phone:681-252-1632
Mailing Address - Fax:
Practice Address - Street 1:150 E BURR BLVD
Practice Address - Street 2:
Practice Address - City:KEARNEYSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25430-4793
Practice Address - Country:US
Practice Address - Phone:681-252-1632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker