Latoya Nkongolo, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19300 Issued in MD

Practice address

795 Aquahart Rd Ste 229
Glen Burnie, MD 21061-3958

Phone

(443) 679-8823

NPI assigned

Apr 7, 2016

Last updated

Oct 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Work Life Behavioral Health and Professional Training LLCGroup PAC ID 3476833609, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13778/brand/1/csg/1/fhir/r4
• Direct secure messaging: latoya.nkongolo.1@13778.direct.athenahealth.com

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.

• Work Life Behavioral Health and Professional Training LLC

  • Clinical Social Worker
  • Glen Burnie, MD
  • NPI 1235683947
  Medicare reassignment Care Compare group NPD Authorized official
• Work Life Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
  • NPI 1023467990
  NPD

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1487018354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 229",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613958",
            "telephone_number": "443-679-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 AQUAHART RD STE 229",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613958",
            "telephone_number": "443-679-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKONGOLO",
        "first_name": "LATOYA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Novacare
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• Clinical Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.

Verify at the official NPI Registry.