Active NPI
Latisha Torres
- Clinical Social Worker
- Parlin, NJ
National Provider Identifier
1487079067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06167400
- Practice address
- 19 Farnham SQ
Parlin, NJ 08859-2311 - Phone
- (914) 671-3373
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05694500 | NJ | |
| Clinical Social Worker | 1041C0700X | 9335201 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC06167400 | NJ | Primary |
Addresses
Primary practice location
19 Farnham SQ
Parlin, NJ 08859-2311
Mailing address
801 Route 1 # 1040
Iselin, NJ 08830-2609
Phone (914) 315-9351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05694500 | NJ | MD | Social Worker |
| 9335201 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Wagner Medical PC | Clinical | Current | Accepting new patients |
Locations
1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891
1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398
100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1487079067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ROUTE 1 # 1040",
"city": "ISELIN",
"state": "NJ",
"postal_code": "088302609",
"telephone_number": "914-315-9351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 FARNHAM SQ",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088592311",
"telephone_number": "914-671-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "LATISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05694500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "9335201",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06167400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.