Individual provider Active NPI

Latonya Carter, LCSW

  • Clinical Social Worker
  • Conyers, GA
National Provider Identifier
1669836920
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005984 Issued in GA
Practice address
1226 Royal Dr SW Ste O
Conyers, GA 30094-5926
Phone
(404) 408-3916
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW005984 GA Primary
Clinical Social Worker 1041C0700X MSW006552 GA

Addresses

Primary practice location

1226 Royal Dr SW Ste O
Conyers, GA 30094-5926

Mailing address

1226 Royal Dr SW Ste O
Conyers, GA 30094-5926
Phone (404) 408-3916

Other practice location 1

380 Linkmere Ln
Covington, GA 30014-3982
Phone (404) 408-3916

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

LicenseStateTypeSpecialty
CSW005984GAMDClinical Social Worker
MSW006552GAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1669836920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 ROYAL DR SW STE O",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945926",
            "telephone_number": "404-408-3916",
            "fax_number": "770-788-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 ROYAL DR SW STE O",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945926",
            "telephone_number": "404-408-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Linkmere Ln",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300143982",
            "country_code": "US",
            "telephone_number": "404-408-3916",
            "fax_number": "770-788-3281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LATONYA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005984",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "MSW006552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.