Active NPI
Jill A Latore, LCSW
- Clinical Social Worker
- New Castle, PA
National Provider Identifier
1477845410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017361
- Practice address
- 2703 W State St
New Castle, PA 16101-8671 - Phone
- (724) 657-3303
- Fax
- (724) 657-3326
- NPI assigned
- May 10, 2011
- Last updated
- Aug 7, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW126944 | PA | |
| Clinical Social Worker | 1041C0700X | CW017361 | PA | Primary |
Addresses
Primary practice location
2703 W State St
New Castle, PA 16101-8671
Mailing address
1107 Dushane St
New Castle, PA 16101-4781
Phone (724) 944-2746
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477845410 | Other | PA | HIGHMARK BLUE SHIELD |
| 600773304 | Other | PA | MAGELLAN HEALTH SERVICES |
| 251830792 | Other | PA | UNITED BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11 Shenango Rd
Suite 1
New Castle, PA 16105-1177
Phone (724) 657-1881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW017361 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Psychiatry & TMS PC | Current | Accepting new patients | |
| Richardson Psychiatric Associates,PC | Current | Accepting new patients |
Locations
11 Shenango Rd
Ste 1
New Castle, PA 16105
Phone (724) 657-1881
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1477845410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 DUSHANE ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161014781",
"telephone_number": "724-944-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 W STATE ST",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "161018671",
"telephone_number": "724-657-3303",
"fax_number": "724-657-3326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATORE",
"first_name": "JILL",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW126944",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1477845410",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "600773304",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "251830792",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.