Letethia Nathan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21391 Issued in MD

Practice address

626 Towne Center Dr Ste 204
Joppa, MD 21085-4451

Phone

(443) 313-3240

Fax

(301) 329-2025

NPI assigned

Sep 10, 2025

Last updated

Sep 10, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fresh Start Therapeutic Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Joppa, MD
  • NPI 1437767852
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1033090402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 TOWNE CENTER DR STE 204",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854451",
            "telephone_number": "443-313-3240",
            "fax_number": "301-329-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 TOWNE CENTER DR STE 204",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854451",
            "telephone_number": "443-313-3240",
            "fax_number": "301-329-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "LETETHIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathrina Cayabyab Mendoza, DPT, PT
• Rolande Meumelieu
• Sayomi Mishima, PMHNP-BC
• Cheryl Moses, LCSW-C
• Nancy E Prosser M.D., PA
• Kortney Neal
• Sonita Nulla
• Hellen Perpetual Nyamu
• Jeffrey O'Donnell
• Alana Marie O'Neill, LGPC,CAC-AD

• Clinical Social Worker in Joppa, MD
• Providers in Joppa, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.