Provider Demographics
NPI:1922418680
Name:TRENTALANGE, KATELYN (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:KATELYN
Middle Name:
Last Name:TRENTALANGE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:RAAB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4C NORTH AVE STE 423
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2334
Mailing Address - Country:US
Mailing Address - Phone:410-449-4955
Mailing Address - Fax:443-787-0306
Practice Address - Street 1:4C NORTH AVE STE 423
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2334
Practice Address - Country:US
Practice Address - Phone:410-449-4955
Practice Address - Fax:443-787-0306
Is Sole Proprietor?:No
Enumeration Date:2014-05-04
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16625104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker