Healthcare Provider Details

I. General information

NPI: 1205708955
Provider Name (Legal Business Name): TRINA GARCIA TRINIDAD-RAMIREZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5035 EDENVIEW DR
SAN JOSE CA
95111-4031
US

IV. Provider business mailing address

5035 EDENVIEW DR
SAN JOSE CA
95111-4031
US

V. Phone/Fax

Practice location:
  • Phone: 408-227-0616
  • Fax:
Mailing address:
  • Phone: 408-227-0616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number85726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: