Latesha Black, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009270 Issued in VA

Practice address

623 Cedar Springs CT
Virginia Beach, VA 23462-7115

Phone

(757) 773-0227

NPI assigned

Mar 9, 2016

Sex

Female

Sole proprietor

Yes

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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1699136226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 CEDAR SPRINGS CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627115",
            "telephone_number": "757-773-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 CEDAR SPRINGS CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627115",
            "telephone_number": "757-773-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "LATESHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Bjorkman, NP
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• Black Hibiscus Integrative Health
• Andrew Black III, DPT, OCS
• Mackenzie Cestare Black, LRIC
• Taylor Breanne Black
• Mason Blacker, MD
• Diane Blackiston, LCSW
• Alsena Jacquline Blackman, PTA

• All providers in Virginia Beach, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.