Provider Demographics
NPI:1497129266
Name:TRISH HENNING, MSW, CAP, LCSW, INC.
Entity Type:Organization
Organization Name:TRISH HENNING, MSW, CAP, LCSW, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSW, CAP, LCSW
Authorized Official - Prefix:MISS
Authorized Official - First Name:TRISH
Authorized Official - Middle Name:
Authorized Official - Last Name:HENNING
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CAP, LCSW
Authorized Official - Phone:727-784-8244
Mailing Address - Street 1:2270 DREW ST STE C
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3344
Mailing Address - Country:US
Mailing Address - Phone:727-784-8244
Mailing Address - Fax:727-287-9302
Practice Address - Street 1:2270 DREW ST STE C
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3344
Practice Address - Country:US
Practice Address - Phone:727-784-8244
Practice Address - Fax:727-287-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW11813251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health