Individual provider Active NPI

Louisa Latela, MSW, LCSW

  • Clinical Social Worker
  • Haddonfield, NJ
National Provider Identifier
1174832679
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04534600 Issued in NJ
Practice address
132 Kings Hwy E Ste 105
Haddonfield, NJ 08033-2008
Phone
(856) 429-9799
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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 44SC04534600 NJ Primary

Addresses

Primary practice location

132 Kings Hwy E Ste 105
Haddonfield, NJ 08033-2008

Mailing address

PO Box 304
Haddon Heights, NJ 08035-0304
Phone (856) 429-9799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200715002099 NJ Practitioner - Clinical Social Worker 2365866951 Practice locations: Gibbsboro, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

146 S Lakeview Dr
Suite 300
Gibbsboro, NJ 08026-1018
Phone (856) 429-9799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04534600NJMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1174832679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080350304",
            "telephone_number": "856-429-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 KINGS HWY E STE 105",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332008",
            "telephone_number": "856-429-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATELA",
        "first_name": "LOUISA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04534600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.