Latasha Michelle Ellis in Gastonia - Clinical
Latasha Michelle Ellis - NPI 1487832671
Latasha Michelle Ellis is a Clinical in Gastonia, North Carolina. Latasha Michelle Ellis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Latasha Michelle Ellis is 1487832671. The last update date is 2021-03-08.
Latasha Michelle Ellis's current location address is 200 E 2nd Ave, Gastonia, North Carolina. You can contact this provider via phone number 7048741904. The mailing address for Latasha Michelle Ellis is 200 E 2nd Ave, Gastonia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Latasha Michelle Ellis |
|---|---|
| Address | 200 E 2nd Ave, Gastonia, North Carolina |
| Phone Number | 7048741904 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1487832671 |
|---|---|
| Provider Enumeration Date | 2008-02-10 |
| Last Updated Date | 2021-03-08 |
Provider Mailing Address Detail
| Address | 200 E 2nd Ave |
|---|---|
| City | Gastonia |
| State | North Carolina (NC) |
| Post Code | 280524358 |
| Phone Number | 7048741904 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005951 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6106903 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Latasha Michelle Ellis by the Centers for Medicare & Medicaid Services?
The Latasha Michelle Ellis has been issued the NPI (National Provider Identifier) 1487832671, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Latasha Michelle Ellis is physically located?
The Latasha Michelle Ellis is physically situated at the following address: 200 E 2Nd Ave, Gastonia, NC, 280524358.
What is Latasha Michelle Ellis's area of expertise and its corresponding taxonomy classification?
The Latasha Michelle Ellis's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487832671 to Latasha Michelle Ellis?
The Centers for Medicare & Medicaid Services originally issued the 1487832671 to Latasha Michelle Ellis on 2008-02-10.
As of what date was the information pertaining to Latasha Michelle Ellis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Latasha Michelle Ellis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-08.
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