Provider Demographics
NPI:1295187441
Name:HOWARD, TRINA D (LCSW)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:D
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TRINA
Other - Middle Name:D
Other - Last Name:FEIT, FRANZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 S. CHERRY AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449
Mailing Address - Country:US
Mailing Address - Phone:715-486-8302
Mailing Address - Fax:715-486-9253
Practice Address - Street 1:501 S. CHERRY AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449
Practice Address - Country:US
Practice Address - Phone:715-486-8302
Practice Address - Fax:715-486-9253
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI130291 - 121104100000X
WI9302-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100059992Medicaid