Healthcare Provider Details

I. General information

NPI: 1235043860
Provider Name (Legal Business Name): TRENTON PIERSON LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VESTAVIA PKWY STE 100
VESTAVIA AL
35216-3750
US

IV. Provider business mailing address

5576 HEATH ROW DR
BIRMINGHAM AL
35242-3141
US

V. Phone/Fax

Practice location:
  • Phone: 251-289-1985
  • Fax:
Mailing address:
  • Phone: 805-410-2813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7122C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: