Provider Demographics
NPI:1700599800
Name:CABRICES TRUONG, LORENA JACQUELINE (LCSW)
Entity Type:Individual
Prefix:
First Name:LORENA
Middle Name:JACQUELINE
Last Name:CABRICES TRUONG
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 1:13491 GRANGER AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-3861
Mailing Address - Country:US
Mailing Address - Phone:786-218-0802
Mailing Address - Fax:
Practice Address - Street 1:13491 GRANGER AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-3861
Practice Address - Country:US
Practice Address - Phone:786-218-0802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW209811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQP974OtherMEDICARE HF