Latrice Fox Dillard

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M10447 Issued in MS

Practice address

6920 Oak Forest Dr
Olive Branch, MS 38654-1332

Phone

(662) 892-2660

Fax

(662) 200-5842

NPI assigned

May 23, 2025

Last updated

May 23, 2025By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1477346310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 JOHNNY WALKER RD",
            "city": "POTTS CAMP",
            "state": "MS",
            "postal_code": "386599310",
            "telephone_number": "662-688-5848",
            "fax_number": "662-688-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 OAK FOREST DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541332",
            "telephone_number": "662-892-2660",
            "fax_number": "662-200-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX DILLARD",
        "first_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "M10447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly L Flowers, FNP
• Manessha Teneal Floyd
• Dallis Glenn Forsythe, DPT
• Michael E. Foster, M.D.
• Four Winds Counseling and Consulting
• Charles H. Fraga, M.D.
• Galisa Franklin, CP
• Gerianna Kneeland Frazier, MS, NCC, LPC-MHSP
• Sarah Lynn Freed, D.P.M.
• William Anthony Frost, PHARMD

• Clinical Social Worker in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.