Sandra Trevino

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006069 Issued in CT

Practice address

179 Cove St
New Haven, CT 06512-4310

Phone

(203) 668-8403

NPI assigned

Nov 30, 2015

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

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1205200375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 COVE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065124310",
            "telephone_number": "203-668-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 COVE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065124310",
            "telephone_number": "203-668-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006069",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "006069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tree of Life Primary Care and Recovery LLC
• Miriam Treggiari, MD
• Maria Camila Trejo Paredes, MD
• Janice Mary Trelease, LMFT
• Elizabeth Elaine Tremblay, MD, MPH
• Christopher Trevisani, MD
• Stephanie Trexler, PHARMD
• Dan Trinh, M.D.
• Mitesh Trivedi, M.D.
• Laura Troidle, PAC

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.