Active NPI
Desiree Latta, LMSW
- Social Worker
- Laurel, MD
National Provider Identifier
1053161398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 27971
- Practice address
- 14504 Greenview Dr Ste 200
Laurel, MD 20708-3290 - Phone
- (240) 297-9646
- NPI assigned
- Mar 26, 2024
- Last updated
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 27971 | MD | Primary |
Addresses
Primary practice location
14504 Greenview Dr Ste 200
Laurel, MD 20708-3290
Mailing address
1022 Hamilton St NE
Washington, DC 20011-6428
Phone (202) 641-3505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27971 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Wellness Foundation LLC | Current | Accepting new patients | |
| Community Wellness Foundation LLC | Current | Accepting new patients |
Locations
14504 Greenview Dr
Ste 200
Laurel, MD 20708
Phone (240) 297-9646
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Laurel, MD
- NPI 1023722618
-
- Community/Behavioral Health Agency
- Laurel, MD
- NPI 1023734837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1053161398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 HAMILTON ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200116428",
"telephone_number": "202-641-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14504 GREENVIEW DR STE 200",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083290",
"telephone_number": "240-297-9646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTA",
"first_name": "DESIREE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "27971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.