Active NPI
Latonya R Thomas, MSW
- Clinical Social Worker
- Clarksdale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-5972
- Practice address
- 122 Desoto Ave Ste 109
Clarksdale, MS 38614-4440 - Phone
- (662) 592-5397
- Fax
- (662) 627-2442
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 31704 | MD | |
| Clinical Social Worker | 1041C0700X | TH00946983 | WV | |
| Clinical Social Worker | 1041C0700X | C-5972 | MS | Primary |
| Clinical Social Worker | 1041C0700X | SWI.LW.61423143 | WA | |
| Clinical Social Worker | 1041C0700X | 11528-C | AR | |
| Clinical Social Worker | 1041C0700X | 0904015147 | VA | |
| Clinical Social Worker | 1041C0700X | SW22932 | FL | |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
122 Desoto Ave Ste 109
Clarksdale, MS 38614-4440
Mailing address
122 Desoto Ave Ste 109
Clarksdale, MS 38614-4440
Phone (662) 592-5397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AR, WA, FL, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220819001910 | MS | Practitioner - Clinical Social Worker | 8426431651 | Reassigns benefits to 3 organizations |
| I20221012003141 | AR | Practitioner - Clinical Social Worker | 8426431651 | Reassigns benefits to 2 organizations |
| I20230713000906 | WA | Practitioner - Clinical Social Worker | 8426431651 | Reassigns benefits to 2 organizations |
| I20241101000721 | FL | Practitioner - Clinical Social Worker | 8426431651 | Reassigns benefits to 1 organization |
| I20241107001725 | DC | Practitioner - Clinical Social Worker | 8426431651 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahatchie General Hospital
Practice addresses (Care Compare)
141 Dr T T Lewis Circle
Charleston, MS 38921-2236
Phone (662) 647-5392
141 Dr TT Lewis Cir
Charleston, MS 38921-2400
PO Box
Suite 230
Charleston, MS 38921
PO Box
Suite 230
Charleston, MS 38921-0240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyla Health Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Tallahatchie General Hospital | Current | Accepting new patients | |
| Teletherapeutics Health Inc | Current | Accepting new patients | |
| Tallahatchie General Hospital | Current | Accepting new patients | |
| Tallahatchie General Hospital | Current | Accepting new patients | |
| BMSC Az LLC | Clinical | Current | Accepting new patients |
| Delta Compassionate Care Counseling | Past | Accepting new patients | |
| Jban, LLC | Mental Health | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
1301 Sunset Dr
Ste E
Grenada, MS 38901
Phone (662) 229-0069
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
14205 SE 36th St
Bellevue, WA 98006
Phone (360) 821-4302
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
522 W Riverside Ave
Ste N
Spokane, WA 99201
Phone (509) 203-4653
Organizations & group practices 14
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
DC, FL, Mental Health, MS, WA
-
- Diagnostic Radiology Physician
- Charleston, MS
- NPI 1215267232
-
- Rural Health Clinic/Center
- Tutwiler, MS
- NPI 1609322205
-
- Rural Health Clinic/Center
- Charleston, MS
- NPI 1194860502
-
- Pharmacy
- Charleston, MS
- NPI 1346734373
-
- Rural Health Clinic/Center
- Grenada, MS
- NPI 1932591468
-
- Critical Access Hospital
- Charleston, MS
- NPI 1992706303
-
- General Practice Physician
- Dover, DE
- NPI 1780417030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1861701740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 DESOTO AVE STE 109",
"city": "CLARKSDALE",
"state": "MS",
"postal_code": "386144440",
"telephone_number": "662-592-5397",
"fax_number": "662-627-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 DESOTO AVE STE 109",
"city": "CLARKSDALE",
"state": "MS",
"postal_code": "386144440",
"telephone_number": "662-592-5397",
"fax_number": "662-627-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LATONYA",
"middle_name": "R",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "31704",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "TH00946983",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C-5972",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SWI.LW.61423143",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "11528-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904015147",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW22932",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksdale, MS
- Tes Transportation
- The Medical Arthritis and Wellness Clinic of Mississippi Inc
- The Smile Center of Clarksdale
- Therapeutic Exprexxions Rehab, Inc.
- Kimberly Thomas, PCMHT
- Carleen Thompson
- Malendia Hite Thornton, RPH
- Sylvester Lewis Thornton, NP
- Thrive Medical & Wellness, PLLC
- Kathleen Tinnel, C.P.N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.