Individual provider Active NPI

Latoya Camp Daniels, MSW, LSCW-A

  • Clinical Social Worker
  • Mooresville, NC
National Provider Identifier
1003411208
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014524 Issued in NC
Practice address
363 Williamson Rd Ste 102
Mooresville, NC 28117-5974
Phone
(704) 664-7148
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014524 NC Primary

Addresses

Primary practice location

363 Williamson Rd Ste 102
Mooresville, NC 28117-5974

Mailing address

1140 Valley St
Statesville, NC 28677-3560
Phone (704) 880-7085

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Mooresville Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P014524NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Therapy Center, PC CurrentSince Dec 6, 2020 Accepting new patients
Child & Family Therapy Center PC PastSince Dec 6, 2020 Accepting new patients

Locations

363 Williamson Rd
Ste 102
Mooresville, NC 28117
Phone (704) 664-7148

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1003411208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VALLEY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773560",
            "telephone_number": "704-880-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 WILLIAMSON RD STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175974",
            "telephone_number": "704-664-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LATOYA",
        "middle_name": "CAMP",
        "credential": "MSW, LSCW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mooresville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "363 Williamson Rd Ste 102",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281175974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.