Latonia Nicole Warren, LCSW
Individual provider Active NPI Clinical Social Worker · Addis, LA
NPI 1720575855 · NPPES record last updated Apr 14, 2018
Key facts
- NPI
- 1720575855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5373 (LA)
- Practice address
- 3210 Rivers Edge Dr
Addis, LA 70710-2096 - Phone
- (225) 936-7661
- NPI assigned
- Apr 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5373 | LA | Yes |
Addresses
Primary practice location
3210 Rivers Edge Dr
Addis, LA 70710-2096
Mailing address
3210 Rivers Edge Dr
Addis, LA 70710-2096
Phone (225) 936-7661
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- Kharisa Ree Tucker
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- Felicia M Williams
- Victoria Marie Young
All providers in Addis, LA · Clinical Social Worker in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.