Active NPI
La-Toya V Larke, LMSW
- Social Worker
- Willow Grove, PA
National Provider Identifier
1760188080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW023795
- Practice address
- 2817 Lillian Ave
Willow Grove, PA 19090-4334 - Phone
- (267) 917-0334
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CW023795 | PA | Primary |
Addresses
Primary practice location
2817 Lillian Ave
Willow Grove, PA 19090-4334
Mailing address
PO Box 1379
Willow Grove, PA 19090-5579
Phone (267) 917-0334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231005001903 | PA | Practitioner - Clinical Social Worker | 4082069463 | Reassigns benefits to 1 organization |
| I20250305003237 | NJ | Practitioner - Clinical Social Worker | 4082069463 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW023795 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients | |
| Grow Healthcare Group of New Jersey PC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
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": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1760188080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1379",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190905579",
"telephone_number": "267-917-0334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 LILLIAN AVE",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190904334",
"telephone_number": "267-917-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKE",
"first_name": "LA-TOYA",
"middle_name": "V",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW023795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.