Active NPI
Ana Carolina Lategan, LCSW
- Clinical Social Worker
- Chapel Hill, NC
National Provider Identifier
1144917469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013744
- Practice address
- 1777 Fordham Blvd Ste 202-6
Chapel Hill, NC 27514-5859 - Phone
- (919) 360-9502
- NPI assigned
- Apr 18, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C013744 | NC | Primary |
Addresses
Primary practice location
1777 Fordham Blvd Ste 202-6
Chapel Hill, NC 27514-5859
Mailing address
1777 Fordham Blvd Ste 202-6
Chapel Hill, NC 27514-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1777 Fordham Blvd
Suite 202 6
Chapel Hill, NC 27514-5859
Phone (888) 204-8409
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C013744 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Heal Love, Inc | Clinical | Current | Accepting new patients |
Locations
1777 Fordham Blvd
Ste 2026
Chapel Hill, NC 27514
1777 Fordham Blvd
Ste 202-6
Chapel Hill, NC 27514
Phone (888) 204-8409
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.
-
- Clinical Social Worker
- Chapel Hill, NC
- NPI 1619250099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1144917469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 FORDHAM BLVD STE 202-6",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275145859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 FORDHAM BLVD STE 202-6",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275145859",
"telephone_number": "919-360-9502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATEGAN",
"first_name": "ANA",
"middle_name": "CAROLINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.