Individual provider Active NPI

Carolyn Elizabeth Latham-Shiflett, DBH, LCSW, CGCS

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1902035884
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007051 Issued in VA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110705000246 VA Practitioner - Clinical Social Worker 9234317702 Reassigns benefits to 4 organizations
Practice locations: Hampton, VA

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
Total Life IncGroup PAC ID 8123433034, 113 clinicians

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

LicenseStateTypeSpecialty
0904007051VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Nov 8, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Total Life FL PA CurrentSince Sep 1, 2025 Accepting new patients
Clinical Services, LLC CurrentSince Jun 1, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 20, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.