Provider Demographics
NPI:1497220016
Name:TRAN, TINH (LMSW)
Entity Type:Individual
Prefix:MR
First Name:TINH
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1274 PACIFIC ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-3132
Mailing Address - Country:US
Mailing Address - Phone:141-529-8349
Mailing Address - Fax:
Practice Address - Street 1:1274 PACIFIC ST APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-3132
Practice Address - Country:US
Practice Address - Phone:415-298-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085877104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker