Individual provider Active NPI

Trenice Charne Morton, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1447831250
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012654 Issued in VA
Practice address
1900 Byrd Ave
Richmond, VA 23230-3033
Phone
(804) 592-6311
Fax
(944) 905-1362
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012654 VA Primary

Addresses

Primary practice location

1900 Byrd Ave
Richmond, VA 23230-3033

Mailing address

PO Box 2471
Chester, VA 23831-2471
Phone (804) 938-4093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208001309 GA Practitioner - Clinical Social Worker 1052783669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904012654VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia Inc CurrentSince Mar 6, 2023 Accepting new patients
Medlink Georgia, Inc CurrentSince Mar 6, 2023 Accepting new patients

Locations

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

980 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 676-6500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1447831250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2471",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312471",
            "telephone_number": "804-938-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BYRD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303033",
            "telephone_number": "804-592-6311",
            "fax_number": "944-905-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON",
        "first_name": "TRENICE",
        "middle_name": "CHARNE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.