Latonya C.M. Gage
Individual provider Active NPI Clinical Social Worker · Aberdeen, SD
NPI 1972016277 · NPPES record last updated Aug 17, 2021
Key facts
- NPI
- 1972016277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5240 (SD)
- Practice address
- 14 S Main St Ste 1E
Aberdeen, SD 57401-4189 - Phone
- (605) 225-1010
- Fax
- (605) 725-8055
- NPI assigned
- Nov 8, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5240 | SD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4755 | SD | |
| Clinical Social Worker | 1041C0700X | 5240 | SD | Yes |
Addresses
Primary practice location
14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Mailing address
14 S Main St Ste 1E
Aberdeen, SD 57401-4189
Phone (605) 225-1010
Other providers in Aberdeen, SD
- Marcy Fritz
- Michele N Fritz
- Robert Ashly Froke
- Michael Fucci
- Nona A Gab
- Angela Kay Gaikowski
- Jason Gauer
- Richard A Geary
- Adrianne Geditz
- Katelyn Geditz
All providers in Aberdeen, SD · Clinical Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.