Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATARA ANDERSON, LCSW
Active Sole ProprietorLATARA ANDERSON, LCSW is a Clinical Social Worker healthcare provider located in GALLUP, New Mexico. NPI 1255088563 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GALLUP, NM
Registration Details
- NPI Number
- 1255088563
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2022 (4.3991089039427 yrs)
- Last Updated
- Jul 16, 2025
- Licenses
-
SW19622 (FL)SWB-2025-0420 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2105 HASLER VALLEY RDGALLUP, NM, 87301Browse NM providers · Browse ZIP 87301
- Phone
- 5054133447
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in GALLUP, NM
| Name | Credential | NPI |
|---|---|---|
| MS. CAROL A FRAZIER | LICSW, BCD | 1902889389 |
| PAULA STIFLER | LISW | 1962474833 |
| TRISTAN GLENN KELLER | LISW | 1053346171 |
| MRS. MARGO MICHELLE PATTERSON | CASE MANAGER | 1730280090 |
| SANDRA ANN GEARY | LCSW | 1972691186 |
| MR. VERNON THOMAS JAQUES | LCSW | 1689746554 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.