Individual provider Active NPI

Geraldine Todd Latuch, LICSW

  • Clinical Social Worker
  • Fairhaven, MA
National Provider Identifier
1164643755
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114383 Issued in MA
Practice address
118 Bridge St
Fairhaven, MA 02719-4141
Phone
(774) 425-4666
NPI assigned
May 1, 2007
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.