Individual provider · Type 1 NPI

Latoya Jewelldine Conner, LCSW, LISW-CP, LCASA

Clinical Social Worker · Charlotte, NC

NPI number 1619641867 Active

Practice location

3623 Latrobe Dr Ste 119
Charlotte, NC 28211-1187

Mailing address

3623 Latrobe Dr
Charlotte, NC 28211-4864

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-30286 (NC)
Clinical Social Worker 1041C0700X18317 (SC)
Clinical Social Worker 1041C0700X34012244A (IN)
Clinical Social Worker Primary 1041C0700XC017457 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1619641867

Latoya Jewelldine Conner, LCSW, LISW-CP, LCASA's National Provider Identifier is 1619641867, issued on Aug 2, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Nov 11, 2025.