Individual provider Active NPI

Latavia M Little, MSW, LCSW-C

  • Clinical Social Worker
  • Pikesville, MD
National Provider Identifier
1013356856
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113399 Issued in MD
Practice address
17 Warren Rd Ste 25a
Pikesville, MD 21208-5003
Phone
(443) 939-5223
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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 113399 MD Primary

Addresses

Primary practice location

17 Warren Rd Ste 25a
Pikesville, MD 21208-5003

Mailing address

17 Warren Rd Ste 25a
Pikesville, MD 21208-5003
Phone (443) 939-5223

Other practice location 1

2025 Maryland Ave
Baltimore, MD 21218-5918
Phone (443) 202-3127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113399MDMDClinical Social Worker
11339MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
NSNS Reentry Palliative Outpatient Care, LLC. Clinical PastSince Feb 25, 2024 Accepting new patients

Organizations & group practices 1

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1013356856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN RD STE 25A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085003",
            "telephone_number": "443-939-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN RD STE 25A",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085003",
            "telephone_number": "443-939-5223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212185918",
            "country_code": "US",
            "telephone_number": "443-202-3127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "LATAVIA",
        "middle_name": "M",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "113399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.