Aimee Lataille, LICSW
Individual provider Active NPI Clinical Social Worker · Newton Centre, MA
NPI 1154742013 · NPPES record last updated Dec 19, 2013
Key facts
- NPI
- 1154742013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 116379 (MA)
- Practice address
- 1400 Centre St
Suite 203
Newton Centre, MA 02459-2454 - Phone
- (617) 244-9929
- NPI assigned
- Dec 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mass General Brigham Medical Group Suburban Massachusetts Inc
Practice addresses (Care Compare)
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20200915002314 | MA | Practitioner - Clinical Social Worker | 5294153763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116379 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Wellesley Hospital | Current | Accepting new patients | |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current |
Accepting new patients | |
| Newton Centre Kids, LLC | Past | Accepting new patients |
Locations
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
Interoperability endpoints
- lataille.aimee.nwh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 116379 | MA | Yes |
Addresses
Primary practice location
1400 Centre St
Suite 203
Newton Centre, MA 02459-2454
Mailing address
1400 Centre St
Suite 203
Newton Centre, MA 02459-2454
Phone (617) 244-9929
Other providers in Newton Centre, MA
- Michele Kraman
- Karen G. Kramer
- D. Elliott Kronenfeld
- Kellyann Langdon
- Roberta Dale Laredo
- Lawrence E. Rosenberg, MDPC
- Jill Auline Lewis
- Alice I-Ying Lin
- Neal Ennis Lipsitz
- Andrew B Littman
All providers in Newton Centre, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2013. 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.