Provider Demographics
NPI:1396570115
Name:TROLIAN, CATHERINE DRYDEN (LCSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:DRYDEN
Last Name:TROLIAN
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 1:4082 PINEDEROSA TRL
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-8839
Mailing Address - Country:US
Mailing Address - Phone:850-376-4504
Mailing Address - Fax:
Practice Address - Street 1:4082 PINEDEROSA TRL
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-8839
Practice Address - Country:US
Practice Address - Phone:850-376-4504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW234881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical