Individual provider Active NPI

Elizabeth Latsos, MS, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1073272696
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11467301 Issued in NY
Practice address
515 Madison Ave FL 21
New York, NY 10022-5433
Phone
(929) 306-6928
Fax
(929) 419-9061
NPI assigned
Dec 10, 2021
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11467301 NY Primary

Addresses

Primary practice location

515 Madison Ave FL 21
New York, NY 10022-5433

Mailing address

PO Box 220062
Brooklyn, NY 11222-0062
Phone (929) 306-6928

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com/ Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11467301NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1073272696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220062",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112220062",
            "telephone_number": "929-306-6928",
            "fax_number": "929-419-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225433",
            "telephone_number": "929-306-6928",
            "fax_number": "929-419-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATSOS",
        "first_name": "ELIZABETH",
        "credential": "MS, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11467301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "Website URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "515 Madison Ave Fl 21",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100225433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.