Individual
TRISHA RENEE LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081-1863
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
129987
WI
1041C0700X
Clinical Social Worker
Primary
11963-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100228699
—
WI
01
—
129987-121
SOCIAL WORK CERTIFICATION
WI
Enumeration date
02/15/2023
Last updated
04/10/2025
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