Provider Demographics
NPI:1326419987
Name:TROTT, REBECCA (LCSW-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:TROTT
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:LOEWENTHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGSW
Mailing Address - Street 1:30007 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:20622-3101
Mailing Address - Country:US
Mailing Address - Phone:301-997-1300
Mailing Address - Fax:301-374-2591
Practice Address - Street 1:69 SHERRY LN
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3231
Practice Address - Country:US
Practice Address - Phone:443-968-8331
Practice Address - Fax:443-968-8331
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20816104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker