Individual provider Active NPI

Latisha S Christensen, LCSW-C

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1609227073
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19915 Issued in MD
Practice address
6249 Savannah Breeze CT Apt 203
Tampa, FL 33625-1105
Phone
(470) 670-5889
Fax
(877) 441-2845
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19915 MD Primary

Addresses

Primary practice location

6249 Savannah Breeze CT Apt 203
Tampa, FL 33625-1105

Mailing address

3501 Bessie Coleman Blvd Unit 22352
Tampa, FL 33622-9096
Phone (410) 670-5889

Other identifiers 1

IdentifierTypeStateIssuer
1145819MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, FL, NC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170206001793 MD Practitioner - Clinical Social Worker 7517240138 Reassigns benefits to 1 organization
Practice locations: Baltimore, MD
I20240130003064 DC Practitioner - Clinical Social Worker 7517240138 Reassigns benefits to 1 organization
I20240131003004 FL Practitioner - Clinical Social Worker 7517240138 Reassigns benefits to 1 organization
I20240505000020 NC Practitioner - Clinical Social Worker 7517240138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19915MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Money Talks Baltimore, LLC CurrentSince Jun 26, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 26, 2023 Accepting new patients
Money Talks Tampa LLC CurrentSince Mar 1, 2024 Accepting new patients
Everest Health Counsel PastSince Jun 1, 2017 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3501 Bessie Coleman Blvd
Unit 22352
Tampa, FL 33622

2300 Garrison Blvd
Ste 210
Baltimore, MD 21216
Phone (410) 233-6200

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1609227073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BESSIE COLEMAN BLVD UNIT 22352",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336229096",
            "telephone_number": "410-670-5889",
            "fax_number": "877-441-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 SAVANNAH BREEZE CT APT 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251105",
            "telephone_number": "470-670-5889",
            "fax_number": "877-441-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "LATISHA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1145819",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.