MEDICARE: DEMETRIA TRINNETTE MCKENZIE MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316035298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEMETRIA TRINNETTE MCKENZIE MSW

Provider Business Mailing Address
First Line	:	20 BRIDGE ST
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06830-5238
Country	:	US
Telephone Number	:	203-629-2822
Fax Number	:	203-629-2940

Provider Business Practice Location Address
First Line	:	60 PALMERS HILL ROAD
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902
Country	:	US
Telephone Number	:	203-324-3167
Fax Number	:	203-358-2327

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	12/17/2025

Similar Medicare Providers

1508539735 — ANTHONY CHAO CRNA
Practice Location Address:

1 HOSPITAL PLZ
STAMFORD, CT
06902-3602

Practice Phone: 203-276-1000
Practice Fax:

1982341012 — SHEHRYAR NAJEEB MD
Practice Location Address:

1 HOSPITAL PLZ
STAMFORD, CT
06902-3602

Practice Phone: 203-276-7298
Practice Fax: 203-276-4842

1982188835 — NINA GILBERT PSYCHOTHERAPY, LLC
Practice Location Address:

14 DORA ST APT 4
STAMFORD, CT
06902-9407

Practice Phone: 704-281-3411
Practice Fax:

1407593528 — MARINA MIRKOVIC MD
Practice Location Address:

1 HOSPITAL PLZ
STAMFORD, CT
06902-3602

Practice Phone: 203-276-7147
Practice Fax:

1376407783 — WILLOW PARK ACADEMY LLC
Practice Location Address:

131 LAWN AVENUE , UNIT D4
STAMFORD, CT
06902

Practice Phone: 203-244-7438
Practice Fax:

1851255277 — R..A. CALDWELL CO. INC
Practice Location Address:

474 W MAIN ST
STAMFORD, CT
06902-5598

Practice Phone: 203-348-0174
Practice Fax: 203-348-7004

Directions to “ DEMETRIA TRINNETTE MCKENZIE MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.