Individual provider · Type 1 NPI
Latonya Patterson Mangum, MSW, LCSW, LCAS, CCS
Clinical Social Worker · Knightdale, NC
Practice location
103 Plowlan Ct
Knightdale, NC 27545-7910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-22975 (NC) |
| Clinical Social Worker Primary | 1041C0700X | C011831 (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 1780125211
Latonya Patterson Mangum, MSW, LCSW, LCAS, CCS's National Provider Identifier is 1780125211, issued on Mar 16, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Knightdale, NC. The record was last updated on Jun 23, 2025.