Individual ProviderMisa TrotmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address777 Davis St Ste 300, San Leandro, CA 94577-6923(510) 468-1225(925) 263-9592PECOS EnrollmentBased on the most recent information from CMS, provider Misa Trotman is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1174724090Provider TypeIndividualFull NameTrotman, MisaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date5/29/2007Last Updated1/12/2025Contact InformationPractice LocationPractice Address777 Davis St Ste 300, San Leandro, CA 94577-6923Phone(510) 468-1225FaxUnlisted FaxMailing LocationMailing Address2710 Crow Canyon Rd # 1074, San Ramon, CA 94583-1606Phone(925) 263-9592FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW 20625California