Trevor Trietsch, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10583-C Issued in AR

Practice address

101 N Woodrow St
Little Rock, AR 72205-4341

Phone

(501) 265-0046

Fax

(501) 265-0057

NPI assigned

Jul 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspring Renewal CenterGroup PAC ID 1254778897, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Wellspring Renewal Center

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1053833939
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1568034668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N WOODROW ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054341",
            "telephone_number": "501-265-0046",
            "fax_number": "501-265-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WOODROW ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054341",
            "telephone_number": "501-265-0046",
            "fax_number": "501-265-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIETSCH",
        "first_name": "TREVOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "10583-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerian Trice-Purnell, RN, BSN, CLC, CBE
• Jackie Trice
• Tina Marie Trice, OTR/L
• Tricho RX
• Amanda Lynn Trickey, RN
• Laura B Trigg, M.D.
• Sharon Trigilio, SLP
• Anup Kumar Trikannad Ashwini Kumar, M.D., M.S
• Trilogy Therapy Services, Inc.
• Anjelica Trimble

• Social Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.