Latresa Rice, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091344 Issued in MI

Practice address

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Phone

(646) 453-6777

Fax

(833) 900-1747

NPI assigned

Jul 25, 2014

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1578971206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "646-453-6777",
            "fax_number": "833-900-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GREENFIELD RD STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201805",
            "telephone_number": "646-453-6777",
            "fax_number": "833-900-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29039 York St",
            "address_purpose": "LOCATION",
            "city": "Inkster",
            "state": "MI",
            "postal_code": "481412820",
            "country_code": "US",
            "telephone_number": "586-413-7158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "LATRESA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Adam Reynolds
• Tiffany Rhodes, CRNA
• Arthur Riba, MD
• Mollie Ribar
• Cassandra Yvette Rice
• Richard R Hammoud MD PC
• Darby Richards, MD
• Madison Elizabeth Richards
• Samantha Richards
• Sara Richards, MA, LLP, BCBA, LBA

• Clinical Social Worker in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.