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

Shantel Latrell Hogan, LCSW

Individual provider Clinical Social Worker · NPI 1821641432

Shantel Latrell Hogan, LCSW is a Clinical Social Worker in Valdosta, Georgia. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2019
Specialties on file
2
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

1339 Partridge Pl
Valdosta, GA 31601-6227
Phone: (229) 415-3462
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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 CSW010407 (GA)
Contractor Taxonomy 171W00000X (GA)

Record details

NPI number1821641432
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 23, 2019
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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