Basic Information
| Provider Information | |||||||||
| NPI: | 1477745735 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TROUT | ||||||||
| FirstName: | CARON | ||||||||
| MiddleName: | BUECHLER | ||||||||
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| Credential: | LCSW-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6123 MONTROSE RD | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208524860 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018813700 | ||||||||
| FaxNumber: | 3017700901 | ||||||||
| Practice Location | |||||||||
| Address1: | 11 B FIRST FIELD ROAD | ||||||||
| Address2: | |||||||||
| City: | GAITHERSBURG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 20878 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019906880 | ||||||||
| FaxNumber: | 3019900257 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2007 | ||||||||
| LastUpdateDate: | 08/10/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 13541 | MD | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.