Latrina Smith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017198 Issued in IL

Practice address

605 Piccadilly LN
Bolingbrook, IL 60440-1021

Phone

(630) 253-6518

NPI assigned

Feb 6, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

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.

• Latrina Smith & Associates

  • Clinical Social Worker
  • Bolingbrook, IL
  • NPI 1356706162
  NPD Authorized official
• The Well Being Collective

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
  • NPI 1841138997
  NPD Authorized official

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1831580208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PICCADILLY LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401021",
            "telephone_number": "630-253-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PICCADILLY LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401021",
            "telephone_number": "630-253-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATRINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-2998431",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandis Diane Smith, LSW
• David H Smith, DMD
• Donrita Smith, CCC-SLP/L
• Karyn Smith
• Lateena Smith, EDS
• Sarah Catherine Smith, M.P.T.
• Tara Smith, LCSW
• Tara E Smith, PT
• William Kelvyn Smith, ED.D.
• Gina Marie Smoger, RDH

• Clinical Social Worker in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.

Verify at the official NPI Registry.