Provider Demographics
NPI:1770739963
Name:TRIMBLE, MILDRED NORWOOD (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:MILDRED
Middle Name:NORWOOD
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 BURTON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2707
Mailing Address - Country:US
Mailing Address - Phone:301-588-3577
Mailing Address - Fax:
Practice Address - Street 1:1201 BURTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-2707
Practice Address - Country:US
Practice Address - Phone:301-588-3577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD086141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical