Individual provider Active NPI

Angela Trenz, LCSW

  • Clinical Social Worker
  • Baldwin, NY
National Provider Identifier
1356436737
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R040028-1 Issued in NY
Practice address
1740 Rockville Drive
Baldwin, NY 11510-2210
Phone
(516) 868-9880
Fax
(516) 868-9880
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R040028-1 NY Primary

Addresses

Primary practice location

1740 Rockville Drive
Baldwin, NY 11510-2210

Mailing address

1740 Rockville Drive
Baldwin, NY 11510-2210
Phone (516) 868-9880

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R040028-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356436737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 ROCKVILLE DRIVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115102210",
            "telephone_number": "516-868-9880",
            "fax_number": "516-868-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 ROCKVILLE DRIVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115102210",
            "telephone_number": "516-868-9880",
            "fax_number": "516-868-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENZ",
        "first_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040028-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.