| Trent Latham House, LCSW | |
|
902 North 8th West Street, Riverton, WY 82520-0156 | |
| (307) 857-3111 | |
| (307) 857-3848 |
| Full Name | Trent Latham House |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 902 North 8th West Street, Riverton, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619234044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 786 (Wyoming) | Primary |
| Entity Name | Wyoming Mental Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386463420 PECOS PAC ID: 2163956301 Enrollment ID: O20241112000359 |
| Mailing Address | Practice Location Address |
|---|---|
| Trent Latham House, LCSW 902 North 8th West Street, Po Box 1234, Riverton, WY 82520-0156 Ph: (307) 857-3111 | Trent Latham House, LCSW 902 North 8th West Street, Riverton, WY 82520-0156 Ph: (307) 857-3111 |
Jeff Stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 E Madison Ave Ste 1, Riverton, WY 82501 Phone: 307-463-0337 | |
Rhonda Schieffer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 107 S Broadway Ave Ste 205, Riverton, WY 82501 Phone: 307-463-7541 Fax: 307-222-0614 | |
Shanda Barlow, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1035 Rose Ln, Riverton, WY 82501 Phone: 307-463-7160 | |
Micki S Hanser, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 N 2nd St E, Riverton, WY 82501 Phone: 307-857-3035 | |
Miss Anne Louise Lepard, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1110 Major Ave, Riverton, WY 82501 Phone: 307-856-6587 | |
Mrs. Laurie Lynn Nicol, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 902 N 8th St W, Riverton, WY 82501 Phone: 307-857-3111 | |
Mrs. April Justice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 S Broadway Ave, Suite 205, Riverton, WY 82501 Phone: 307-840-3766 |