Active NPI
Somatic Latitude, LLC
- Clinical Social Worker
- Manhattan, KS
National Provider Identifier
1982487229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SOMATIC LATITUDE, LLC
- Practice address
- 555 Poyntz Ave Ste 282
Manhattan, KS 66502-6085 - Phone
- (785) 301-1542
- Fax
- (785) 262-8393
- NPI assigned
- Aug 18, 2023
- Last updated
- Sep 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela C Givian, LSCSW
- Title
- Manager
- Phone
- (785) 301-1542
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
555 Poyntz Ave Ste 282
Manhattan, KS 66502-6085
Mailing address
555 Poyntz Ave Ste 282
Manhattan, KS 66502-6085
Phone (785) 301-1542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
555 Poyntz Ave
Ste 282
Manhattan, KS 66502
Phone (785) 301-1542
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Manhattan, KS
- NPI 1366071086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1982487229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 POYNTZ AVE STE 282",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665026085",
"telephone_number": "785-301-1542",
"fax_number": "785-262-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 POYNTZ AVE STE 282",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665026085",
"telephone_number": "785-301-1542",
"fax_number": "785-262-8393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMATIC LATITUDE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-18",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "GIVIAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "785-301-1542",
"authorized_official_credential": "LSCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.