Individual provider Active NPI

Lateria Shaniece Floyd, SOCIAL WORKER

  • Social Worker
  • Baltimore, MD
National Provider Identifier
1760148738
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
27088 Issued in MD
Practice address
5508 Knell Ave
Baltimore, MD 21206-4305
Phone
(410) 262-5921
NPI assigned
Nov 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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 27088 MD Primary

Addresses

Primary practice location

5508 Knell Ave
Baltimore, MD 21206-4305

Mailing address

5508 Knell Ave
Baltimore, MD 21206-4305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20241205000199 MD Practitioner - Clinical Social Worker 4587190210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holistic Psychohealth Services LLCGroup PAC ID 8527408764, 4 clinicians

Practice addresses (Care Compare)

632 Frederick Rd
Suite 200
Catonsville, MD 21228-4696
Phone (443) 892-0553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Psychohealth Services LLC CurrentSince Nov 13, 2024 Accepting new patients

Locations

632 Frederick Rd
Ste 200
Catonsville, MD 21228
Phone (443) 413-9874

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": "1636761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1760148738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 KNELL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 KNELL AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064305",
            "telephone_number": "410-262-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "LATERIA",
        "middle_name": "SHANIECE",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-13",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "27088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.