Individual provider Active NPI

Jean Meredith Lattin, MSW

  • Clinical Social Worker
  • Carmichael, CA
National Provider Identifier
1831276955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS6136 Issued in CA
Practice address
5650 Marconi Avenue
Suite #1
Carmichael, CA 95608-4467
Phone
(916) 481-1419
Fax
(916) 481-1419
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS6136 CA Primary

Addresses

Primary practice location

5650 Marconi Avenue
Suite #1
Carmichael, CA 95608-4467

Mailing address

5650 Marconi Avenue
Suite #1
Carmichael, CA 95608-4467
Phone (916) 481-1419

Other identifiers 1

IdentifierTypeStateIssuer
051138OtherCAMANAGUL HEALTH NETWORK

Other names 1

  • Meredith Lattin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS6136CAMDClinical Social Worker
6136CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831276955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 MARCONI AVENUE",
            "address_2": "SUITE #1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084467",
            "telephone_number": "916-481-1419",
            "fax_number": "916-481-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MARCONI AVENUE",
            "address_2": "SUITE #1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084467",
            "telephone_number": "916-481-1419",
            "fax_number": "916-481-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIN",
        "first_name": "JEAN",
        "middle_name": "MEREDITH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS6136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGUL HEALTH NETWORK",
            "identifier": "051138",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "LATTIN",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.