Provider Demographics
NPI:1154462166
Name:TRENT, VICTORIA L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:L
Last Name:TRENT
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 1:703 N COURTHOUSE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4069
Mailing Address - Country:US
Mailing Address - Phone:804-794-4482
Mailing Address - Fax:804-379-7578
Practice Address - Street 1:10111 KRAUSE RD STE 101
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-6573
Practice Address - Country:US
Practice Address - Phone:804-318-8244
Practice Address - Fax:804-796-9075
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005259C01Medicare ID - Type UnspecifiedMEDICARE NUMBER
VA004945352Medicaid