Latonja Pickett, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C018148 Issued in NC

Practice address

11 Concord Commons PL SW Ste A16
Ste 1013
Concord, NC 28027-5025

Phone

(704) 323-6513

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Metanoia Mind and Wellness PLLC

  • Community/Behavioral Health Agency
  • Gastonia, NC
  • NPI 1063213908
  NPD Authorized official

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1467110478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542215",
            "telephone_number": "704-323-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CONCORD COMMONS PL SW STE A16",
            "address_2": "STE 1013",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280275025",
            "telephone_number": "704-323-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "LATONJA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kathleen Phillips
• Taylor Phillips, ATC
• Teresa L Phillips, MA,EDS,LPC
• Mildred Ladean Phipps, LPC, LCAS
• Jennifer Isabel Piana, LCSW
• Piedmont Area MH, DD and Sa Authority
• Piedmont Area MH, DD and Sa Authority
• Piedmont Area MH, DD and Sa Authority
• Piedmont Area MH, DD and Sa Authority
• Piedmont Area MH, DD, and Sa Area Authority

• Clinical Social Worker in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.