Individual provider Active NPI

Ana Carolina Lategan, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1144917469
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013744 Issued in NC
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

Updated by the provider on May 3, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230623001068 NC Practitioner - Clinical Social Worker 9032577036 Reassigns benefits to 1 organization

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
Grow Heal Love IncGroup PAC ID 6305092602, 3 clinicians

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

LicenseStateTypeSpecialty
C013744NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Heal Love, Inc Clinical CurrentSince May 11, 2023 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.

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

Verify at the official NPI Registry.