Provider Demographics
NPI:1215781125
Name:TROUT, VERA GEANNE (LMSW, CSW-INTERN)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:GEANNE
Last Name:TROUT
Suffix:
Gender:F
Credentials:LMSW, CSW-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 NORTHGATE LN STE 62
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-1619
Mailing Address - Country:US
Mailing Address - Phone:775-884-2269
Mailing Address - Fax:
Practice Address - Street 1:2621 NORTHGATE LN
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-1653
Practice Address - Country:US
Practice Address - Phone:775-884-2269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCSW-IC2176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health