Organization Active NPI

Latrina Smith & Associates

  • Clinical Social Worker
  • Bolingbrook, IL
National Provider Identifier
1356706162
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017198 Issued in IL
Legal business name
LATRINA SMITH & ASSOCIATES
Practice address
682 W Boughton Rd
Unit D
Bolingbrook, IL 60440-5700
Phone
(331) 333-9074
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mrs. Latrina Smith, MSWNPI 1831580208
Title
License Clinical Social Worker
Phone
(630) 253-6518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 149017198 IL Primary

Addresses

Primary practice location

682 W Boughton Rd
Unit D
Bolingbrook, IL 60440-5700

Mailing address

605 Piccadilly LN
Bolingbrook, IL 60440-1021
Phone (630) 253-6518

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1356706162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PICCADILLY LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401021",
            "telephone_number": "630-253-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 W BOUGHTON RD",
            "address_2": "UNIT D",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405700",
            "telephone_number": "331-333-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATRINA SMITH & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LATRINA",
        "authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-253-6518",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.