Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerrilynn J Latta, LCSW

Individual provider Clinical Social Worker · NPI 1700552114

Kerrilynn J Latta, LCSW is a Clinical Social Worker in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

11225 N 28th Dr Ste A-10214
Phoenix, AZ 85029-5606
Phone: (623) 203-5151
Fax: (480) 718-7487
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-19734 (AZ)

Record details

NPI number1700552114
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022

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