Laticia Hall, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2339C Issued in AL

Practice address

25207 Lakeland Dr
Loxley, AL 36551-7438

Phone

(251) 786-2716

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 19, 2026 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laticia Hall, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Robertsdale, AL
  • NPI 1376430892
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1801478946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25207 LAKELAND DR",
            "city": "LOXLEY",
            "state": "AL",
            "postal_code": "365517438",
            "telephone_number": "251-786-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25207 LAKELAND DR",
            "city": "LOXLEY",
            "state": "AL",
            "postal_code": "365517438",
            "telephone_number": "251-786-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LATICIA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "2339C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Primary Health Center, Inc
• Franklin Primary Health Center, Inc.
• Kelli Gillman
• Melissa Goldman, CRNP
• Gulf Coast Pharmaceuticals LLC
• Crystal Smith Hanson
• Hemophilia Infusion Managers LLC
• Courtney Michele Henry
• John E. Murphy, DMD, PLLC
• Veronica Halie Jones, M.S.

• Clinical Social Worker in Loxley, AL
• Providers in Loxley, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.