Latasha Michelle Ellis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005951 Issued in NC

Practice address

13420 Reese Blvd W
Huntersville, NC 28078-7925

Phone

(704) 999-7378

NPI assigned

Feb 10, 2008

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

Other identifiers 1

Other names 1

• Ms. Latasha Michelle Quailes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 31)

Interoperability endpoints

• Direct secure messaging: latasha.ellis.2@14940.direct.athenahealth.com
• Direct secure messaging: latashaellis@imhi.allscriptsdirect.net

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.

• Couples Alliance, PLLC

  • Clinical Social Worker
  • Huntersville, NC
  • NPI 1013862002
  NPD Authorized official
• Gaston Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD
• Gaston Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  NPD

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1487832671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 ROLLING MEADOWS LN",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783353",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 REESE BLVD W",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787925",
            "telephone_number": "704-999-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LATASHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-10",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106903",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "QUAILES",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Eller, DPT
• Denise Elliott
• Jennifer Lee Elliott, ATC, LAT
• Cody W. Ellis, RD
• John Steven Ellis Jr., FNP
• Madhu Kumar Emani, M.D.
• Catherine Emerson, MD
• Emily Grimes, LCSW PLLC
• Endoscopy Center - Huntersville, LLC
• Endoscopy Center of Lake Norman, LLC

• Clinical Social Worker in Huntersville, NC
• Providers in Huntersville, 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 Apr 30, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.