Provider Demographics
NPI:1932537842
Name:TROST, LORETTA ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:ANN
Last Name:TROST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:LORETTA
Other - Middle Name:ANN
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSW
Mailing Address - Street 1:2904 OAKDELL TRL
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7501
Mailing Address - Country:US
Mailing Address - Phone:361-218-9843
Mailing Address - Fax:877-310-5968
Practice Address - Street 1:468 S SEGUIN AVE
Practice Address - Street 2:STE 203
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7670
Practice Address - Country:US
Practice Address - Phone:361-218-9843
Practice Address - Fax:877-310-5968
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX134641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical