Individual provider Active NPI

Heather Jean Latta

  • Clinical Social Worker
  • Effingham, IL
National Provider Identifier
1982917456
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.011337 Issued in IL
Practice address
408 S 4TH St
Effingham, IL 62401-3703
Phone
(217) 347-5118
Fax
(217) 347-7069
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.011337 IL Primary

Addresses

Primary practice location

408 S 4TH St
Effingham, IL 62401-3703

Mailing address

408 S 4TH St
Effingham, IL 62401-3703
Phone (217) 347-5118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120523000353 IL Practitioner - Clinical Social Worker 7517120843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Loft IncGroup PAC ID 2062665110, 5 clinicians

Practice addresses (Care Compare)

408 S 4TH St
Effingham, IL 62401-3703
Phone (217) 347-5118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.011337ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Loft Inc. Clinical CurrentSince Aug 28, 2012 Accepting new patients
Community Support Systems Past Accepting new patients

Locations

408 S 4th St
Effingham, IL 62401
Phone (217) 347-5118

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1982917456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013703",
            "telephone_number": "217-347-5118",
            "fax_number": "217-347-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S 4TH ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013703",
            "telephone_number": "217-347-5118",
            "fax_number": "217-347-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTA",
        "first_name": "HEATHER",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

Verify at the official NPI Registry.