Latoya Shanell Colvin, LMSW
Individual provider Active NPI Clinical Social Worker · Temperance, MI
NPI 1104227016 · NPPES record last updated Aug 6, 2025
Key facts
- NPI
- 1104227016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801103805 (MI)
- Practice address
- 8765 Lewis Ave
Temperance, MI 48182-9300 - Phone
- (734) 847-3802
- NPI assigned
- Sep 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Wayne State University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Medical Center of Michigan Inc
Practice addresses (Care Compare)
8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909003418 | MI | Practitioner - Clinical Social Worker | 5395074801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801103805 | MI | MD | Social Worker |
| 112296 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Center of Michigan,Inc | Current |
Accepting new patients | |
| Family Medical Center of Michigan,Inc | Current |
Accepting new patients |
Locations
901 N Macomb St
Monroe, MI 48162
Phone (734) 243-2410
1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546
8765 Lewis Ave
Temperance, MI 48182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801103805 | MI | |
| Social Worker | 104100000X | 112296 | TX | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | 6801103805 | MI | |
| Clinical Social Worker | 1041C0700X | 6801103805 | MI | Yes |
Addresses
Primary practice location
8765 Lewis Ave
Temperance, MI 48182-9300
Mailing address
8765 Lewis Ave
Temperance, MI 48182-9300
Phone (734) 847-3802
Other practice location 1
2002 Timberloch Pl Ste 200
The Woodlands, TX 77380-1182
Phone (832) 669-5280
Other practice location 2
901 N Macomb St
Monroe, MI 48162-3088
Phone (734) 243-2410
Other providers in Temperance, MI
- CC Therapy PLLC
- Catherine Monica Chan
- Janki Chandarana
- Tamara Ruth Ciha
- David L Clark
- Marianne Helen Coppens
- Natalia Cortes Ferreira
- David L Clark DDS PC
- Meghanne Denise Decant
- Gillian O'Bryan Delffs
All providers in Temperance, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.