Individual provider Active NPI

Eli Latto, LICSW

  • Clinical Social Worker
  • Waltham, MA
National Provider Identifier
1720457971
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000222766 Issued in MA
Practice address
431 River St
Waltham, MA 02453-5476
Phone
(781) 423-5215
NPI assigned
Sep 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000222766 MA Primary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 000122563 MA

Addresses

Primary practice location

431 River St
Waltham, MA 02453-5476

Mailing address

431 River St
Waltham, MA 02453-5476
Phone (781) 423-5215

Other practice location 1

6 Pleasant St
Suite 220
Malden, MA 02148-5100
Phone (781) 338-2640

Other practice location 2

5 High St Ste 101
Medford, MA 02155-3800
Phone (781) 423-5215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240829003859 MA Practitioner - Clinical Social Worker 2860931102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fenway Community Health Center, IncGroup PAC ID 0941299655, 79 clinicians

Practice addresses (Care Compare)

1340 Boylston St
Boston, MA 02215-4302
Phone (617) 267-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000122563MAMDClinical Social Worker
000222766MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fenway Community Health Center, Inc CurrentSince May 23, 2024 Accepting new patients
Fenway Community Health Center, Inc CurrentSince May 23, 2024 Accepting new patients

Locations

1340 Boylston St
Boston, MA 02215
Phone (617) 267-0900

Organizations & group practices 2

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720457971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 RIVER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535476",
            "telephone_number": "781-423-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 RIVER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535476",
            "telephone_number": "781-423-5215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Pleasant St",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021485100",
            "country_code": "US",
            "telephone_number": "781-338-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 High St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "MA",
            "postal_code": "021553800",
            "country_code": "US",
            "telephone_number": "781-423-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTO",
        "first_name": "ELI",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000222766",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000122563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.