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NPI Code Detail

MEDICARE: REBECCA TROTT LCSW-C

MEDICARE: REBECCA TROTT LCSW-C
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
1104100000XSocial Worker20816MD

General Provider Information

NPI Number : 1326419987
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA TROTT LCSW-C
Provider Business Mailing Address
First Line : 30007 BUSINESS CENTER DR
Second Line :
City : CHARLOTTE HALL
State : MD
Zip : 20622-3101
Country : US
Telephone Number : 301-997-1300
Fax Number : 301-374-2591
Provider Business Practice Location Address
First Line : 69 SHERRY LN
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-3231
Country : US
Telephone Number : 443-968-8331
Fax Number : 443-968-8331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2015
Last Update Date : 03/15/2018

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Directions to “ REBECCA TROTT LCSW-C” Practice Location

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