Active NPI
Geraldine Todd Latuch, LICSW
- Clinical Social Worker
- Fairhaven, MA
National Provider Identifier
1164643755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114383
- Practice address
- 118 Bridge St
Fairhaven, MA 02719-4141 - Phone
- (774) 425-4666
- NPI assigned
- May 1, 2007
- Last updated
- Nov 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114383 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 213551 | MA |
Addresses
Primary practice location
118 Bridge St
Fairhaven, MA 02719-4141
Mailing address
118 Bridge St
Fairhaven, MA 02719-4141
Phone (774) 425-4666
Other practice location 1
589 South First Street
New Bedford, MA 02741
Phone (508) 996-3147 ext. 3926
Other names 1
- Geraldine F. Todd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080801000363 | MA | Practitioner - Clinical Social Worker | 5092889543 | Practice locations: Fairhaven, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
118 Bridge St
Fairhaven, MA 02719-4141
Phone (774) 425-4666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1164643755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 BRIDGE ST",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027194141",
"telephone_number": "774-425-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 BRIDGE ST",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027194141",
"telephone_number": "774-425-4666"
}
],
"practiceLocations": [
{
"address_1": "589 South First Street",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "02741",
"country_code": "US",
"telephone_number": "508-996-3147 x3926",
"fax_number": "508-990-1465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATUCH",
"first_name": "GERALDINE",
"middle_name": "TODD",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114383",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "213551",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GERALDINE",
"last_name": "TODD",
"middle_name": "F.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.