Provider Demographics
NPI:1013028992
Name:WELPOTT, TRINA ROSWICK (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TRINA
Middle Name:ROSWICK
Last Name:WELPOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4910
Mailing Address - Country:US
Mailing Address - Phone:540-667-3902
Mailing Address - Fax:
Practice Address - Street 1:108 W CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4058
Practice Address - Country:US
Practice Address - Phone:540-665-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040059951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical