Latisha Jo Richeson, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Unionville, MO
NPI 1780213397 · NPPES record last updated Apr 6, 2020
Key facts
- NPI
- 1780213397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2013017695 (MO)
- Practice address
- 1926 Oak St
Unionville, MO 63565-1180 - Phone
- (660) 947-3673
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013017695 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2013017695 | MO | Yes |
Addresses
Primary practice location
1926 Oak St
Unionville, MO 63565-1180
Mailing address
213 Markham CT
Brookfield, MO 64628-1953
Phone (816) 304-6183
Other providers in Unionville, MO
- Putnam County Memorial Hospital
- Putnam County Memorial Hospital
- Putnam County Nursing Home
- Putnam County Nursing Home
- Putnam County R-I Schools
- Adam Robinson
- David William Sinnwell
- Charles Dwight Taraba
- Tisha Lynn Thrall
- Sarah Christine Triplett
All providers in Unionville, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.