Healthcare Provider Details

I. General information

NPI: 1861879736
Provider Name (Legal Business Name): LATISHA TROTTIE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16240 BENNETT RD
CULPEPER VA
22701-4630
US

IV. Provider business mailing address

15361 BRADFORD RD
CULPEPER VA
22701-4238
US

V. Phone/Fax

Practice location:
  • Phone: 540-825-5656
  • Fax:
Mailing address:
  • Phone: 540-825-5656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: