MEDICARE: LATISHA TROTTIE LCSW

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
1	1041C0700X	Clinical Social Worker		VA

General Provider Information

NPI Number	:	1861879736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATISHA TROTTIE LCSW

Provider Business Mailing Address
First Line	:	15361 BRADFORD RD
Second Line	:
City	:	CULPEPER
State	:	VA
Zip	:	22701-4238
Country	:	US
Telephone Number	:	540-825-5656
Fax Number	:

Provider Business Practice Location Address
First Line	:	16240 BENNETT RD
Second Line	:
City	:	CULPEPER
State	:	VA
Zip	:	22701-4630
Country	:	US
Telephone Number	:	540-825-5656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2015
Last Update Date	:	01/08/2026

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