Active NPI
Carolyn Elizabeth Latham-Shiflett, DBH, LCSW, CGCS
- Clinical Social Worker
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007051
- Practice address
- 729 Thimble Shoals Blvd Ste 5a
Newport News, VA 23606-4217 - Phone
- (757) 964-7774
- Fax
- (757) 257-0023
- NPI assigned
- Jul 13, 2009
- Last updated
- Oct 12, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007051 | VA | Primary |
Addresses
Primary practice location
729 Thimble Shoals Blvd Ste 5a
Newport News, VA 23606-4217
Mailing address
6651 Everets Rd
Suffolk, VA 23434-6980
Phone (757) 964-7774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11815 Fountain Way
Suite 300
Newport News, VA 23606-4448
Phone (800) 567-5433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904007051 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life Inc. | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Total Life FL PA | Current | Accepting new patients | |
| Clinical Services, LLC | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Clinical Services, LLC | Past | Accepting new patients |
Locations
110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690
2 Eaton St
Ste 300
Hampton, VA 23669
Phone (304) 841-2977
11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574
729 Thimble Shoals Blvd
Ste 5A
Newport News, VA 23606
Phone (757) 964-7774
999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3710
Interoperability endpoints
- carolynlathamshiflett@tdh.allscriptsdirect.net
Organizations & group practices 7
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.
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
VA
-
dba Clinical Crisis Services LLC
- Community/Behavioral Health Agency
- Newport News, VA
- NPI 1649955006
-
- Professional Counselor
- Suffolk, VA
- NPI 1972145357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760227200000",
"number": "1902035884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 EVERETS RD",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346980",
"telephone_number": "757-964-7774",
"fax_number": "757-257-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 THIMBLE SHOALS BLVD STE 5A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064217",
"telephone_number": "757-964-7774",
"fax_number": "757-257-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM-SHIFLETT",
"first_name": "CAROLYN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DBH, LCSW, CGCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-13",
"last_updated": "2025-10-12",
"certification_date": "2025-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.