Individual provider Active NPI

Darlene Joy Latta, MSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1144320250
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003441 Issued in VA
Practice address
6000 Stevenson Ave
Suite D
Alexandria, VA 22304-3577
Phone
(703) 716-1143
Fax
(703) 212-7937
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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 0904003441 VA Primary

Addresses

Primary practice location

6000 Stevenson Ave
Suite D
Alexandria, VA 22304-3577

Mailing address

6000 Stevenson Ave
Suite D
Alexandria, VA 22304-3577
Phone (703) 716-1143

Other practice location 1

19413 Jingle Shell Way Unit 3B
Lewes, DE 19958-6307
Phone (703) 447-7195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807002968 DE Practitioner - Clinical Social Worker 7315218542 Practice locations: Lewes, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19413 Jingle Shell Way
Unit 3B
Lewes, DE 19958-6307
Phone (703) 447-7195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003441VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ebs Healthcare Services Past 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1144320250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 STEVENSON AVE",
            "address_2": "SUITE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043577",
            "telephone_number": "703-716-1143",
            "fax_number": "703-212-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 STEVENSON AVE",
            "address_2": "SUITE D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043577",
            "telephone_number": "703-716-1143",
            "fax_number": "703-212-7937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19413 Jingle Shell Way Unit 3B",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199586307",
            "country_code": "US",
            "telephone_number": "703-447-7195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTA",
        "first_name": "DARLENE",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.