Individual provider Active NPI

Trinaty Fofana, LICSW, LCSW-C

  • Clinical Social Worker
  • Upper Marlboro, MD
National Provider Identifier
1134557085
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22998 Issued in MD
Practice address
1330 McCormick Dr
Upper Marlboro, MD 20774-5398
Phone
(301) 772-1200
NPI assigned
Oct 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50079058 DC
Clinical Social Worker 1041C0700X 22998 MD Primary

Addresses

Primary practice location

1330 McCormick Dr
Upper Marlboro, MD 20774-5398

Mailing address

6907 Danford Dr
Clinton, MD 20735-4024
Phone (240) 447-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22998MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Counseling and Life Coaching Clinical CurrentSince Apr 9, 2024 Accepting new patients
Family Matters of Greater Washington Past Accepting new patients
The Foundation Schools Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1134557085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 DANFORD DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354024",
            "telephone_number": "240-447-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MCCORMICK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745398",
            "telephone_number": "301-772-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANA",
        "first_name": "TRINATY",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50079058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.