Trina Michelle Laverty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004716 Issued in VA

Practice address

2208 Executive Dr Ste C
Hampton, VA 23666-6603

Phone

(757) 826-7516

Fax

(757) 826-6232

NPI assigned

Jun 4, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

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.

• Manifest Therapy LLC

  • Social Worker
  • Hampton, VA
  • NPI 1639012388
  NPD Authorized official
• Hampton Mental Health Associates, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hampton, VA
  • NPI 1356432801
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1780176990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 EXECUTIVE DR STE A-E",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666603",
            "telephone_number": "757-826-7516",
            "fax_number": "757-826-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 EXECUTIVE DR STE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666603",
            "telephone_number": "757-826-7516",
            "fax_number": "757-826-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVERTY",
        "first_name": "TRINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Lattimore-King
• Kwan Yi Lau
• Laugh & Live, LLC
• Letitia N Laurien, LCSW
• Rachel Lavender, PHYSICIAN ASSISTANT
• Lavish Hair Co Medical Wig LLC
• Shaunda Brooke Lawler, PSY.D.
• Heather Samantha Lawless, NP
• Brittany Youngblood Lawrence, BEHAVIOR TECHNICIAN
• Gregory James Lawrence, OD

• Clinical Social Worker in Hampton, VA
• Providers in Hampton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.