Organization Active NPI

A Jewel's Journey Therapeutic & Consulting Services PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1861220279
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
A JEWEL'S JOURNEY THERAPEUTIC & CONSULTING SERVICES PLLC
Practice address
3623 Latrobe Dr Ste 119
Charlotte, NC 28211-1187
Phone
(980) 502-9615
Fax
(704) 919-5940
NPI assigned
Jul 25, 2024
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Latoya Jeweldine Conner, LCSW, LISW-CP, LCASANPI 1619641867
Title
Ceo/Clinical Director
Phone
(980) 502-9615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3623 Latrobe Dr Ste 119
Charlotte, NC 28211-1187

Mailing address

3623 Latrobe Dr Ste 119
Charlotte, NC 28211-1187
Phone (980) 502-9615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114003814 NC Part B Supplier - Clinic/Group Practice 4789112079 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

3623 Latrobe Dr
Ste 119
Charlotte, NC 28211
Phone (980) 502-9615

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1861220279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 119",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111187",
            "telephone_number": "980-502-9615",
            "fax_number": "704-919-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 LATROBE DR STE 119",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111187",
            "telephone_number": "980-502-9615",
            "fax_number": "704-919-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A JEWEL'S JOURNEY THERAPEUTIC & CONSULTING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "JEWELDINE",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "980-502-9615",
        "authorized_official_credential": "LCSW, LISW-CP, LCASA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.