Individual provider Active NPI

Latisha Torres

  • Clinical Social Worker
  • Parlin, NJ
National Provider Identifier
1487079067
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06167400 Issued in NJ
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

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230327000872 NJ Practitioner - Clinical Social Worker 4880068253 Reassigns benefits to 1 organization
I20231205003691 NY Practitioner - Clinical Social Worker 4880068253 Reassigns benefits to 1 organization
I20251209000485 MD Practitioner - Clinical Social Worker 4880068253 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
44SL05694500NJMDSocial Worker
9335201NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Oct 25, 2025 Accepting new patients
Wagner Medical PC Clinical CurrentSince Oct 25, 2025 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

Verify at the official NPI Registry.