LATARA ANDERSON LCSW
NPI 1255088563
Social Worker - Clinical in Gallup, NM

Active since March 07, 2022
2105 HASLER VALLEY RD, GALLUP, NM 87301(505) 413-3447 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latara Anderson Lcsw NPPES

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

LATARA ANDERSON LCSW (NPI 1255088563) is an individual clinical provider in Gallup, New Mexico, licensed in New Mexico (SWB-2025-0420) and active in the NPI registry since March 2022. She maintains a secondary practice location in Tavares.

NPPES Registry Identity

NPI1255088563
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATARA ANDERSONCredential: LCSW
Location Address2105 HASLER VALLEY RDGallup, NM 87301
Mailing Address599 Siesta Key AveTavares, FL 32778-5911 · (786) 925-8434
Sole ProprietorYes
Enumeration DateMarch 7, 2022
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 3, 2025
NPI 1255088563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NM · SWB-2025-0420
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SW19622 (FL)
2105 HASLER VALLEY RD, Gallup, NM 87301

Secondary Practice Location 1

Location 1599 Siesta Key AveTavares, FL 32778-5911 · Phone (786) 925-8434

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Substance Abuse Rehabilitation Facility
2105 HASLER VALLEY RD
GALLUP, NM 87301
Peer Specialist
2105 HASLER VALLEY RD
GALLUP, NM 87301
Counselor (Mental Health)
2105 HASLER VALLEY RD
GALLUP, NM 87301
Case Manager/Care Coordinator
2105 HASLER VALLEY RD
GALLUP, NM 87301
Counselor (Addiction (Substance Use Disorder))
2105 HASLER VALLEY RD
GALLUP, NM 87301
Counselor (Addiction (Substance Use Disorder))
2105 HASLER VALLEY RD
GALLUP, NM 87301
Social Worker
2105 HASLER VALLEY RD
GALLUP, NM 87301

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 Latara Anderson's NPI number?

The NPI number for Latara Anderson is 1255088563. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Latara Anderson located?

Latara Anderson practices at 2105 Hasler Valley Rd, Gallup, NM 87301. The listed phone number is (505) 413-3447.

What is Latara Anderson's specialty?

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

What insurance does Latara Anderson accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Latara Anderson 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 Latara Anderson was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.