Latrice Douglas, MSW, LSW,CCM

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.0901020 Issued in OH

Practice address

6566 Montgomery Rd Ste 210
Cincinnati, OH 45213-1523

Phone

(513) 709-9970

NPI assigned

Oct 10, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1922760628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CRESCENT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154403",
            "telephone_number": "513-709-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6566 MONTGOMERY RD STE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452131523",
            "telephone_number": "513-709-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "LATRICE",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW,CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0901020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "latrice_douglas@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "170 Crescent Ave",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452154403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Ann Douglas, RN
• Brian Matthew Douglas, MD
• Chanette Tierra Douglas
• Greg Douglas, LISW-S, CNP
• Jasmine Douglas
• Lorna Douglas, LPC
• Marshea Lashone Douglas
• Sarah Douglas
• Scott Douglas, M.D.
• Viveca Douglas, LPN

• Social Worker in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; 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.