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

Mr. Charles J Latorre, LCSW

Individual provider Clinical Social Worker · NPI 1205309721

Mr. Charles J Latorre, LCSW is a Clinical Social Worker in De Pere, Wisconsin. Qualified in 1988, 38 years ago. Practices with Bellin Psychiatric Center Inc, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
38
Licensed in
WI
In the registry since
2019
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

1325 Angels Path
De Pere, WI 54115-4050
Phone: (920) 338-2855
Fax: (920) 338-9270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1970 S Ridge Rd, Green Bay, WI 54304-4125 — (920) 430-4888

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6831-123 (WI)

Record details

NPI number1205309721
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJanuary 8, 2019
Mailing addressPo Box 22040, Green Bay, WI 54305-2040

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Bellin Psychiatric Center Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in De Pere