Individual provider Active NPI

Latonya C Pete, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1003549924
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW02721 Issued in RI
Practice address
1 Richmond SQ Ste 103K
Providence, RI 02906-5166
Phone
(401) 728-1800
NPI assigned
Jul 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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 CSW02721 RI Primary

Addresses

Primary practice location

1 Richmond SQ Ste 103K
Providence, RI 02906-5166

Mailing address

498 Providence St
West Warwick, RI 02893-1627
Phone (401) 996-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT, MA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20251209003047 RI Practitioner - Clinical Social Worker 7719471671 Reassigns benefits to 2 organizations
I20260424001764 CT Practitioner - Clinical Social Worker 7719471671 Reassigns benefits to 1 organization
I20260606000390 MA Practitioner - Clinical Social Worker 7719471671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12913 Harbor Blvd
Suite Q 3 292
Garden Grove, CA 92840-5856

200 Main St
Suite 210
Pawtucket, RI 02860-4102

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW02721RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of Rhode Island, Inc. CurrentSince Aug 30, 2025 Accepting new patients

Locations

200 Main St
Ste 210
Pawtucket, RI 02860
Phone (401) 728-1800

1 Richmond Sq
Ste 103K
Providence, RI 02906
Phone (401) 288-1002

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": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1003549924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 PROVIDENCE ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028931627",
            "telephone_number": "401-996-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 103K",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065166",
            "telephone_number": "401-728-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETE",
        "first_name": "LATONYA",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW02721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.