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MR. CHARLES J LATORRE LCSW
NPI 1205309721
Social Worker - Clinical in De Pere, WI

Active since January 08, 2019PECOS Enrolled
1325 ANGELS PATH, DE PERE, WI 54115(920) 338-2855(920) 338-9270 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Charles J Latorre Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES J LATORRE LCSW (NPI 1205309721) is an individual clinical provider in De Pere, Wisconsin, licensed in Wisconsin (6831-123) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1205309721
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHARLES J LATORRECredential: LCSW
Location Address1325 ANGELS PATHDe Pere, WI 54115-4050
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 338-2855
Fax(920) 338-9270
Sole ProprietorNo
Enumeration DateJanuary 8, 2019
✔ NPI 1205309721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WI · 6831-123
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1325 ANGELS PATH, De Pere, WI 54115
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Secondary Practice Location 1

Location 11970 S Ridge RdGreen Bay, WI 54304-4125 · Phone (920) 430-4888 · Fax (920) 430-4889

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles J Latorre Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Charles Latorre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bellin Psychiatric Center Inc
Same address
Mental Health
1325 ANGELS PATH
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
NPI 1588025720 (920) 433-3630

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET M BROCHOCKI APNP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MS. DEANNA L DITTLOFF
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
COURTNEY L KROLIKOWSKI LPC, LCMHC, NCC
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
ASPEN MARIE VAN STRATEN APNP
Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
DANIELLE M EVENSON LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MRS. GRETCHEN ANNE EBELT MSW,LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MICAYLA M SELISSEN LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MYLAN VAUGEOIS KOHLER DO
Psychiatry & Neurology (Psychiatry)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Latorre's NPI number?

The NPI number for Charles Latorre is 1205309721. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Charles Latorre located?

Charles Latorre practices at 1325 Angels Path, De Pere, WI 54115. The listed phone number is (920) 338-2855.

What is Charles Latorre's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Charles Latorre enrolled in Medicare?

Yes. Charles Latorre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Latorre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Latorre reassigns Medicare benefits to Bellin Psychiatric Center Inc (De Pere, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Latorre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Latorre accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Charles Latorre as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Latorre was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.