Krista A Trahan, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11227 Issued in MD

Practice address

2914 E Joppa Rd
Parkville, MD 21234-3031

Phone

(443) 461-5320

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Universal Community Behavioral Health Inc

  • Clinic/Center
  • Montoursville, PA
  • NPI 1588932545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1053347211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 TANNER LN",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173638507",
            "telephone_number": "410-842-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 E JOPPA RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343031",
            "telephone_number": "443-461-5320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 W High St",
            "address_purpose": "LOCATION",
            "city": "Bellefonte",
            "state": "PA",
            "postal_code": "168231302",
            "country_code": "US",
            "telephone_number": "814-353-3151",
            "fax_number": "814-353-1876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "KRISTA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11227",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh M Tilley, PSYCHOLOGY ASSOCIATE
• Vance G Tinkler Jr.
• TLC Journey
• Alexandra Tocker, PHARMD
• Total Access Rehabilitation Center LLC
• Dat Thanh Tran, B.S. PHARMACY
• Tranquil Behavioral Health, LLC
• Cheryl Lynn Travers
• True Phoenix Community Care, LLC
• Zaire Trusty

• Clinical Social Worker in Parkville, MD
• Providers in Parkville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.