Active NPI
Latonia Collie, LCSW
- Clinical Social Worker
- Johnson City, TN
National Provider Identifier
1174436968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10100
- Practice address
- 1404 W Lakeview Dr
Johnson City, TN 37601-3220 - Phone
- (423) 329-7544
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- 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 | 10100 | TN | Primary |
Addresses
Primary practice location
1404 W Lakeview Dr
Johnson City, TN 37601-3220
Mailing address
1404 W Lakeview Dr
Johnson City, TN 37601-3220
Phone (423) 329-7544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1174436968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 W LAKEVIEW DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013220",
"telephone_number": "423-329-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 W LAKEVIEW DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013220",
"telephone_number": "423-329-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIE",
"first_name": "LATONIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "10100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.