Provider Demographics
NPI:1376030361
Name:TRISH DAINO LISW LLC
Entity Type:Organization
Organization Name:TRISH DAINO LISW LLC
Other - Org Name:SHARON P. DAINO LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MH THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:DAINO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:505-660-8626
Mailing Address - Street 1:PO BOX 832
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33929-0832
Mailing Address - Country:US
Mailing Address - Phone:505-660-8626
Mailing Address - Fax:239-495-7772
Practice Address - Street 1:9180 ESTERO PARK COMMONS, STE 2
Practice Address - Street 2:SUITE 2
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928
Practice Address - Country:US
Practice Address - Phone:505-660-8626
Practice Address - Fax:239-495-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW144321041C0700X
NMC-44541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty