Active NPI
Latavia Carter
- Social Worker
- Jamaica, NY
National Provider Identifier
1306468558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 14813 Hillside Ave
Jamaica, NY 11435-3330 - Phone
- (347) 238-1435
- NPI assigned
- May 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NY | Primary |
Addresses
Primary practice location
14813 Hillside Ave
Jamaica, NY 11435-3330
Mailing address
962 54TH St Apt 1R
Brooklyn, NY 11219-4077
Phone (347) 322-4678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 662667165 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | BROOKLYN |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Services for Children, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Child Mental Illness Respite Care
- Jamaica, NY
- NPI 1609336841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1306468558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 54TH ST APT 1R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112194077",
"telephone_number": "347-322-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14813 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114353330",
"telephone_number": "347-238-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "LATAVIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "662667165",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "BROOKLYN",
"affiliation": "N",
"address_1": "14813 Hillside Ave",
"city": "Jamaica",
"state": "NY",
"country_code": "US",
"postal_code": "114353330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.