Individual provider Active NPI

Latonya Smith, MA

  • Social Worker
  • Winter Park, FL
National Provider Identifier
1710454335
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3001 Aloma Ave
Winter Park, FL 32792-3752
Phone
(321) 437-3715
Fax
(407) 567-7044
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X FL Primary

Addresses

Primary practice location

3001 Aloma Ave
Winter Park, FL 32792-3752

Mailing address

7228 Clarcona Ocoee Rd Unit 124
Clarcona, FL 32710-2001
Phone (321) 437-3715

Other practice location 1

7228 Clarcona Ocoee Rd
Unit 124
Clarcona, FL 32710-2001
Phone (321) 437-3715

Other practice location 2

1800 Pembroke Dr.
Suite 300
Orlando, FL 32810
Phone (321) 437-3715

Other identifiers 1

IdentifierTypeStateIssuer
023801100MedicaidFL

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
T.P.D.S., Inc. Current Accepting new patients

Locations

7228 Clarcona Ocoee Rd
Unit 124
Clarcona, FL 32710
Phone (321) 437-3715

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

3001 Aloma Ave
Winter Park, FL 32792
Phone (407) 973-4210

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.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1710454335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7228 CLARCONA OCOEE RD UNIT 124",
            "city": "CLARCONA",
            "state": "FL",
            "postal_code": "327102001",
            "telephone_number": "321-437-3715",
            "fax_number": "407-567-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923752",
            "telephone_number": "321-437-3715",
            "fax_number": "407-567-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7228 Clarcona Ocoee Rd",
            "address_2": "Unit 124",
            "address_purpose": "LOCATION",
            "city": "Clarcona",
            "state": "FL",
            "postal_code": "327102001",
            "country_code": "US",
            "telephone_number": "321-437-3715",
            "fax_number": "407-567-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Pembroke Dr.",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32810",
            "country_code": "US",
            "telephone_number": "321-437-3715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATONYA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023801100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.