Latosha Dickerson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

475102749 Issued in LA

Practice address

458 Herndon St
Shreveport, LA 71101-4859

Phone

(318) 213-0904

NPI assigned

Oct 9, 2015

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

Electronic endpoints 1

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 and National Provider Directory roles.

• Volunteers of America of North Louisiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1417252230
  NPD
• Creative Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1699142026
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1710358247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 FREEDOMS WAY",
            "city": "KEITHVILLE",
            "state": "LA",
            "postal_code": "71047",
            "telephone_number": "337-251-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HERNDON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014859",
            "telephone_number": "318-213-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "LATOSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "475102749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "latosha.white@voanorthla.org",
            "affiliation": "N",
            "endpointDescription": "latosha.dickerson@voanorthla.org",
            "address_1": "458 Herndon St",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711014859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edgar Diaz, MD
• Erin Jackson Dicharry, PA
• Penny Knight Dickens, RPH
• Ardesia Dickerson
• Cassandra Dickerson
• Ramee Dickerson
• Amy Kristen-Lee Dickey
• Julie Sippel Dickinson, MCD, CCC-SLP
• Elaine Burgess Dickson, PA
• Laura Janet Dickson

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.