Provider Demographics
NPI:1467817445
Name:TRUMPY, MINUETTE (LCSW)
Entity Type:Individual
Prefix:
First Name:MINUETTE
Middle Name:
Last Name:TRUMPY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 S WALWORTH ST
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:WI
Mailing Address - Zip Code:53114-1613
Mailing Address - Country:US
Mailing Address - Phone:262-812-3258
Mailing Address - Fax:262-812-3258
Practice Address - Street 1:42 S WALWORTH ST
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:WI
Practice Address - Zip Code:53114-1613
Practice Address - Country:US
Practice Address - Phone:262-812-3258
Practice Address - Fax:262-812-3258
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9739-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical