Provider Demographics
NPI:1669562567
Name:TRIVINO, NARCISA LISSETTE (MSW)
Entity type:Individual
Prefix:MRS
First Name:NARCISA
Middle Name:LISSETTE
Last Name:TRIVINO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4308 14TH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-1428
Mailing Address - Country:US
Mailing Address - Phone:718-438-0529
Mailing Address - Fax:718-438-0529
Practice Address - Street 1:2002 SEAGIRT BLVD
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-2805
Practice Address - Country:US
Practice Address - Phone:718-327-7660
Practice Address - Fax:718-327-4230
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker