Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latoya Jewelldine Conner, LCSW, LISW-CP, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619641867

Latoya Jewelldine Conner, LCSW, LISW-CP, LCASA is a Clinical Social Worker in Charlotte, North Carolina. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana, North Carolina and South Carolina.

Years since qualifying
22
Licensed in
IN, NC, SC
In the registry since
2021
Specialties on file
4
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

3623 Latrobe Dr Ste 119
Charlotte, NC 28211-1187
Phone: (980) 502-9615
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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 C017457 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-30286 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 18317 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34012244A (IN)

Record details

NPI number1619641867
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LISW-CP , LCASA
Sole proprietorYes
NPI enumeratedAugust 2, 2021
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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