Trent Latham House, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

786 Issued in WY

Practice address

902 North 8TH West Street
Riverton, WY 82520-0156

Phone

(307) 857-3111

Fax

(307) 857-3848

NPI assigned

Apr 23, 2012

Sex

Male

Sole proprietor

Yes

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 WY

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wyoming Mental Health Clinic, LLC

  • Counselor
  • Lander, WY
  • NPI 1386463420

  Clinical

  Medicare reassignment NPD
• Elevation Wellness Center LLC

  dba Elevation Wellness

  • Community/Behavioral Health Agency
  • Riverton, WY
  • NPI 1770302663

  Clinical

  NPD (past)

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1619234044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 NORTH 8TH WEST STREET",
            "address_2": "PO BOX 1234",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825200156",
            "telephone_number": "307-857-3111",
            "fax_number": "307-857-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 NORTH 8TH WEST STREET",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825200156",
            "telephone_number": "307-857-3111",
            "fax_number": "307-857-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "TRENT",
        "middle_name": "LATHAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Hodgson
• Holistic Pain Management of Wyoming, LLC
• Hometown Eyecare and Optical
• Hometown Freedom Healthcare, LLC
• Hot Springs County Hospital District (Hot Springs Health Riverton)
• Jadell Hovander, APRN
• Aimee Howard, RDH,BS
• Jason Duane Howard, D.C.
• Brittany Howell
• Karen Howington

• Clinical Social Worker in Riverton, WY
• Providers in Riverton, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.