Healthcare Provider Details

I. General information

NPI: 1972057339
Provider Name (Legal Business Name): TRINA FRANKLIN MHSD,BSW, CSC-AD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2513 N ROLLING RD UNIT 47384
WINDSOR MILL MD
21244-7616
US

IV. Provider business mailing address

2513 N ROLLING RD UNIT 47384
WINDSOR MILL MD
21244-7616
US

V. Phone/Fax

Practice location:
  • Phone: 667-786-0640
  • Fax: 999-999-9999
Mailing address:
  • Phone: 667-786-0640
  • Fax: 999-999-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberSC2055
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: