Individual provider Active NPI

Latonya R Thomas, MSW

  • Clinical Social Worker
  • Clarksdale, MS
National Provider Identifier
1861701740
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-5972 Issued in MS
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

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
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 HospitalGroup PAC ID 1052208097, 20 clinicians

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

OrganizationSpecialtyStatusNew patients
Lyla Health Inc CurrentSince Nov 1, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 27, 2024 Accepting new patients
Tallahatchie General Hospital Current Accepting new patients
Teletherapeutics Health Inc CurrentSince Jan 25, 2025 Accepting new patients
Tallahatchie General Hospital CurrentSince Aug 3, 2022 Accepting new patients
Tallahatchie General Hospital CurrentSince Aug 3, 2022 Accepting new patients
BMSC Az LLC Clinical CurrentSince Aug 10, 2022 Accepting new patients
Delta Compassionate Care Counseling PastSince Jan 19, 2020 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.

View all 14

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

Sources for this page

Verify at the official NPI Registry.