Provider Demographics
NPI:1275973430
Name:SHERMAN, TRINA MARIE (LBSW)
Entity Type:Individual
Prefix:MRS
First Name:TRINA
Middle Name:MARIE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:MRS
Other - First Name:TRINA
Other - Middle Name:MARIE
Other - Last Name:FIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSW
Mailing Address - Street 1:420 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2445
Mailing Address - Country:US
Mailing Address - Phone:810-496-5446
Mailing Address - Fax:810-257-3795
Practice Address - Street 1:420 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2445
Practice Address - Country:US
Practice Address - Phone:810-496-5446
Practice Address - Fax:810-257-3795
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802066282104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker