Individual provider Active NPI

Latashia Morton-Warren

  • Clinical Social Worker
  • Germantown, MD
National Provider Identifier
1912616731
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19880 Issued in MD
Practice address
12774 Wisteria Dr Unit 1001
Germantown, MD 20875-7554
Phone
(240) 200-4068
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012631 MD
Clinical Social Worker 1041C0700X LC50082226 DC
Clinical Social Worker 1041C0700X 19880 MD Primary

Addresses

Primary practice location

12774 Wisteria Dr Unit 1001
Germantown, MD 20875-7554

Mailing address

12774 Wisteria Dr Unit 1001
Germantown, MD 20875-7554
Phone (240) 200-4068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC50082226DCMDClinical Social Worker
0904012631MDMDClinical Social Worker
19880MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trap House Therapy, LLC Clinical CurrentSince Nov 27, 2022 Accepting new patients

Locations

12774 Wisteria Dr
Unit 1001
Germantown, MD 20875
Phone (240) 200-4068

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1912616731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR UNIT 1001",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208757554",
            "telephone_number": "240-200-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR UNIT 1001",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208757554",
            "telephone_number": "240-200-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON-WARREN",
        "first_name": "LATASHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "0904012631",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082226",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "19880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.