Active NPI
Latonya Demps, LLMSW
- Clinical Social Worker
- Ypsilanti, MI
National Provider Identifier
1528521663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 124 Pearl St Ste 401
Ypsilanti, MI 48197-2663 - Phone
- (810) 449-1272
- NPI assigned
- Apr 6, 2019
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801101680 | MI | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
124 Pearl St Ste 401
Ypsilanti, MI 48197-2663
Mailing address
108 S Adams St Unit 981065
Ypsilanti, MI 48198-7064
Phone (810) 328-3574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801111127 | Other | MI | SOCIAL WORK LICENSING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101680 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Wellness Counseling and Consulting | Clinical | Current | Accepting new patients |
Locations
120 N Washington Sq
Ste 300
Lansing, MI 48933
Phone (317) 510-0758
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Ypsilanti, MI
- NPI 1093483430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1528521663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S ADAMS ST UNIT 981065",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481987064",
"telephone_number": "810-328-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 PEARL ST STE 401",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972663",
"telephone_number": "810-449-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMPS",
"first_name": "LATONYA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-06",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801101680",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK LICENSING NUMBER",
"identifier": "6801111127",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.