Active NPI
Susan Trotman, LCSW
- Clinical Social Worker
- Gloucester, VA
National Provider Identifier
1104332923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007992
- Practice address
- 7892 George Mason Dr
Gloucester, VA 23061-4587 - Phone
- (757) 510-0201
- NPI assigned
- Dec 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3932 | HI | |
| Clinical Social Worker | 1041C0700X | 0904007992 | VA | Primary |
Addresses
Primary practice location
7892 George Mason Dr
Gloucester, VA 23061-4587
Mailing address
7892 George Mason Dr
Gloucester, VA 23061-4587
Phone (757) 510-0201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3932 | HI | MD | Clinical Social Worker |
| 0904007992 | VA | MD | Clinical Social Worker |
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1104332923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7892 GEORGE MASON DR",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614587",
"telephone_number": "757-510-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7892 GEORGE MASON DR",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614587",
"telephone_number": "757-510-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROTMAN",
"first_name": "SUSAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3932",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.