Provider Demographics
NPI:1912950908
Name:ADAMS, TRISHA F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:F
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:E
Other - Last Name:FAISST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3604 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-4507
Mailing Address - Country:US
Mailing Address - Phone:817-528-3960
Mailing Address - Fax:
Practice Address - Street 1:3604 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-4507
Practice Address - Country:US
Practice Address - Phone:817-528-3960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
181647201OtherMEDICAID TPI
8G8215Medicare PIN