Latisha Jo Richeson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013017695 Issued in MO

Practice address

1926 Oak St
Unionville, MO 63565-1180

Phone

(660) 947-3673

NPI assigned

Apr 6, 2020

Last updated

Apr 6, 2020By the provider in NPPES

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1780213397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MARKHAM CT",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646281953",
            "telephone_number": "816-304-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 OAK ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651180",
            "telephone_number": "660-947-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHESON",
        "first_name": "LATISHA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013017695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Putnam County Memorial Hospital (Putnam County Memorial Hospital Pharmacy)
• Putnam County Memorial Hospital
• Putnam County Nursing Home (Putnam County Care Center)
• Putnam County Nursing Home (Putnam County Care Center)
• Putnam County R-I Schools
• Adam Robinson
• David William Sinnwell
• Charles Dwight Taraba, DDS
• Tisha Lynn Thrall, MS, LPC
• Sarah Christine Triplett, D.C.

• Clinical Social Worker in Unionville, MO
• Providers in Unionville, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.