Latoya Denise Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008481 Issued in GA

Practice address

1950 Pearson St
Loganville, GA 30052-6517

Phone

(912) 245-6619

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Social Networks LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Snellville, GA
  • NPI 1922781145
  NPD Authorized official
• Chris 180, Inc.

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1134257827
  NPD (past)

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1629677414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 PEARSON ST",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526517",
            "telephone_number": "912-245-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 PEARSON ST",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526517",
            "telephone_number": "912-245-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LATOYA",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyleigh Grace Daugherty, M. ED. CCC-SLP
• David a Fields MD Family Care PC
• Celeste Davis, CPNP
• Gladys Kyrima Davis
• Jennifer Davis, CPNP-PC
• Tolulola Dawodu
• Abbie Faith Debner
• Deeply Rooted Therapy LLC
• Jannifer Degree, PHLEBOTOMIST
• Keyondra Lashay Delaney, LCSW

• Clinical Social Worker in Loganville, GA
• Providers in Loganville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.