Individual provider Active NPI

Dorothy Latchana, MSW, LMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1295951911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801063173 Issued in MI
Practice address
2360 S Linden Rd
Suite 300
Flint, MI 48532-5420
Phone
(810) 732-0560
Fax
(810) 732-6351
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801063173 MI Primary

Addresses

Primary practice location

2360 S Linden Rd
Suite 300
Flint, MI 48532-5420

Mailing address

1293 Victoria LN
Fenton, MI 48430-9630
Phone (810) 714-1095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295951911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 VICTORIA LN",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309630",
            "telephone_number": "810-714-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 S LINDEN RD",
            "address_2": "SUITE 300",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325420",
            "telephone_number": "810-732-0560",
            "fax_number": "810-732-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATCHANA",
        "first_name": "DOROTHY",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.