MEDICARE: ALICIA TRABBIC MSW, LISW-S

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
2	104100000X	Social Worker	S.1440197	OH

General Provider Information

NPI Number	:	1952800773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA TRABBIC MSW, LISW-S

Provider Business Mailing Address
First Line	:	513 ADAMS ST APT 406
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5577 AIRPORT HWY
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43615-7364
Country	:	US
Telephone Number	:	419-708-8369
Fax Number	:

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

Provider Enumeration Date	:	02/07/2018
Last Update Date	:	07/16/2025

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