Provider Demographics
NPI:1457038259
Name:BUCHANAN, TRENISE ANGEL (LMSW)
Entity Type:Individual
Prefix:
First Name:TRENISE
Middle Name:ANGEL
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7474 GREENWAY CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3524
Mailing Address - Country:US
Mailing Address - Phone:240-304-3327
Mailing Address - Fax:410-609-7091
Practice Address - Street 1:3421 HAMPTON HOLLOW DR APT H
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6192
Practice Address - Country:US
Practice Address - Phone:240-304-3327
Practice Address - Fax:410-609-7091
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28936104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker