Provider Demographics
NPI:1386711026
Name:TRENKLE, BRIDGET B (LCSW)
Entity type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:B
Last Name:TRENKLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 JEAGA DR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8718
Mailing Address - Country:US
Mailing Address - Phone:561-727-9138
Mailing Address - Fax:561-799-1753
Practice Address - Street 1:1661 JEAGA DR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8718
Practice Address - Country:US
Practice Address - Phone:561-727-9138
Practice Address - Fax:561-799-1753
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW94991041C0700X
CA201911041C0700X
CT96931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical