Individual provider Active NPI

Pamela L Latos, MSW LCSW ACSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1013030170
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1024 North Blvd
Suite 209
Oak Park, IL 60301-1169
Phone
(708) 358-9000
Fax
(708) 387-9451
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

1024 North Blvd
Suite 209
Oak Park, IL 60301-1169

Mailing address

1024 North Blvd
Suite 209
Oak Park, IL 60301-1169
Phone (708) 358-9000

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
149001154ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013030170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 NORTH BLVD",
            "address_2": "SUITE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011169",
            "telephone_number": "708-358-9000",
            "fax_number": "708-387-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NORTH BLVD",
            "address_2": "SUITE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011169",
            "telephone_number": "708-358-9000",
            "fax_number": "708-387-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATOS",
        "first_name": "PAMELA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.