Latonia K Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3100 Drewsky LN Unit 108
Fort Mill, SC 29715-0112

Phone

(404) 840-6462

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Latonia K Dubose Former name

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Counseling Services PLLCGroup PAC ID 7719283894, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empower Therapeutic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Mill, SC
  • NPI 1073377610
  Medicare reassignment NPD Authorized official
• Thrive Counseling Services, PLLC

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1477961506

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1275772402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DREWSKY LN UNIT 108",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150112",
            "telephone_number": "404-840-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DREWSKY LN UNIT 108",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297150112",
            "telephone_number": "404-840-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATONIA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATONIA",
            "last_name": "DUBOSE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meghan Kathleen Jensen, AU.D.
• Larry F Jerge, O.D.
• Sital Jethwa
• Andrew Mergen Johnson, DPT
• Emily N Johnson, PHARMD
• Lisa Marie Johnson, LM
• Pamela M Johnson, CLD
• Ronald Lee Johnson, DC
• Scott Charles Johnson, ATC
• Stephanie Johnson, LCMHCS

• Clinical Social Worker in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.

Verify at the official NPI Registry.