Provider Demographics
NPI:1225879059
Name:PERINI, TRINITY ELYSE (LCSWA)
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:ELYSE
Last Name:PERINI
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 BENSON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7321
Mailing Address - Country:US
Mailing Address - Phone:984-325-6889
Mailing Address - Fax:252-226-1243
Practice Address - Street 1:3720 BENSON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7321
Practice Address - Country:US
Practice Address - Phone:984-325-6889
Practice Address - Fax:252-226-1243
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0206501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical