Individual provider Active NPI

Latara Leggett, LCSW

  • Clinical Social Worker
  • Crowley, LA
National Provider Identifier
1952687212
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11899 Issued in LA
Practice address
1325 Wright Ave Ste D
Crowley, LA 70526-2226
Phone
(337) 800-6200
NPI assigned
Oct 31, 2011
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11899 LA
Social Worker 104100000X 11899 LA
Clinical Social Worker 1041C0700X 11899 LA Primary

Addresses

Primary practice location

1325 Wright Ave Ste D
Crowley, LA 70526-2226

Mailing address

PO Box 1941
Abbeville, LA 70511-1941
Phone (337) 800-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20241123000103 LA Practitioner - Clinical Social Worker 7416482732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11899LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Health Services Clinical CurrentSince Nov 15, 2024 Accepting new patients
Azalea Health Services Texas LLC Clinical CurrentSince Nov 15, 2024 Accepting new patients
Graceful Balance Counseling and Consulting LLC Mental Health CurrentSince Mar 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1952687212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1941",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705111941",
            "telephone_number": "337-800-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WRIGHT AVE STE D",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262226",
            "telephone_number": "337-800-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGETT",
        "first_name": "LATARA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "11899",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "11899",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "11899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.