Active NPI
Therese Colette Latorre, LCSW
- Clinical Social Worker
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL05391800
- Practice address
- 17 West Red Bank Avenue, Suite 106
Underwood Memorial Hospital
Woodbury, NJ 08096 - Phone
- (856) 251-3308
- NPI assigned
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL05391800 | NJ | Primary |
Addresses
Primary practice location
17 West Red Bank Avenue, Suite 106
Underwood Memorial Hospital
Woodbury, NJ 08096
Mailing address
17 West Red Bank Avenue, Suite 106
Underwood Memorial Hospital
Woodbury, NJ 08096
Phone (856) 251-3308
Other names 1
- Therese Cronin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1370 Celebration Blvd
Celebration, FL 34747-5546
Phone (786) 414-6666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05391800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mtca Psychological Services P.a. | Current | Accepting new patients | |
| Senior Living Memory Health, Inc. | Current | Accepting new patients |
Locations
16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162
16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817
1450 Venice East Blvd
Venice, FL 34292
Phone (941) 234-4577
Organizations & group practices 2
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.
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1851847834
-
- Clinical Psychologist
- North Miami Beach, FL
- NPI 1740552322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1447428859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WEST RED BANK AVENUE, SUITE 106",
"address_2": "UNDERWOOD MEMORIAL HOSPITAL",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-251-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WEST RED BANK AVENUE, SUITE 106",
"address_2": "UNDERWOOD MEMORIAL HOSPITAL",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "08096",
"telephone_number": "856-251-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATORRE",
"first_name": "THERESE",
"middle_name": "COLETTE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL05391800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "CRONIN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.