Organization Active NPI

Somatic Latitude, LLC

  • Clinical Social Worker
  • Manhattan, KS
National Provider Identifier
1982487229
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Angela C Givian, LSCSWNPI 1366071086
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20231026001580 KS Part B Supplier - Clinic/Group Practice 3779939814 Receives reassigned benefits from 1 practitioner
Practice locations: Manhattan, KS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.