Trent Eisenbeisz, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60506546 Issued in WA

Practice address

1206 Cherry GRV
Greeneville, TN 37745-2035

Phone

(360) 480-5996

NPI assigned

Nov 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, WA, TN, MO, DC, OR, CO, CT, IA, IN, OH11 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 11

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, Clinical, CO, CT, DC, IA, IN, MO, OH, OR, TN, WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1295205607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 CHERRY GRV",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377452035",
            "telephone_number": "360-480-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 CHERRY GRV",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377452035",
            "telephone_number": "360-480-5996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2732 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013416",
            "country_code": "US",
            "telephone_number": "425-259-5842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENBEISZ",
        "first_name": "TRENT",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-28",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60506546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Tennessee Pulmonary and Sleep Medicine PLLC
• East Tennessee Regional Pharmacy
• East Tennessee Resource Center
• East View Eye Care, P.C.
• Brandi Michelle Lewis Eidson, PHARMD
• Luke L. Ellenburg Jr., M.D.
• Elliott B Smith Dr
• John L Elliott, FNP-BC
• Beth Ellis
• Mary K Elwood, FNP

• Clinical Social Worker in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.