Mary June Latu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7114496-3501 Issued in UT

Practice address

1141 E 3900 S
Suite A170
SLC, UT 84124-1215

Phone

(801) 284-4990

NPI assigned

Apr 29, 2009

Last updated

Oct 14, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980

  Clinical

  NPD (past)
• Valley Mental Health Incorporated

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1124085170

  Clinical

  NPD (past)

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1881838290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HILLSIDE CIR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041342",
            "telephone_number": "315-408-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E 3900 S",
            "address_2": "SUITE A170",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241215",
            "telephone_number": "801-284-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATU",
        "first_name": "MARY",
        "middle_name": "JUNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7114496-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Langman Axtell
• Bonnie Larsen
• Bryan Steele Larson, DDS
• Dave Scott Larson, PT
• Matthew G. Larson, LCSW
• Madeline Lauder
• John U Lawrence, MD
• Micah Lawrence, PA-C
• Kendyl Leasure, CMHC
• Lydia Leavitt, MD

• Clinical Social Worker in SLC, UT
• Providers in SLC, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.