MEDICARE: LATASHA LYNN ADELEKE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902583172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATASHA LYNN ADELEKE

Provider Business Mailing Address
First Line	:	11605 MARY CATHERINE DR
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-1041
Country	:	US
Telephone Number	:	240-956-9962
Fax Number	:

Provider Business Practice Location Address
First Line	:	11605 MARY CATHERINE DR
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-1041
Country	:	US
Telephone Number	:	240-956-9962
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	06/29/2023

Similar Medicare Providers

1982696332 — DENISE R CASAB FNP
Practice Location Address:

9 HOMESTEAD CT
CLINTON, NY
13323-1041

Practice Phone: 315-507-1869
Practice Fax: 315-733-0109

1366057523 — PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT
Practice Location Address:

9314 PISCATAWAY RD
CLINTON, MD
20735-3630

Practice Phone: 301-883-7879
Practice Fax:

1669360152 — PHYSICIAN IMAGING OF WASHINGTON HOSPITAL CENTER, LLC
Practice Location Address:

7501 SURRATTS RD STE 105
CLINTON, MD
20735-3362

Practice Phone: 301-877-5588
Practice Fax: 301-868-2298

1699186676 — MS. FOLASADE ADEWUNMI AGPCNP-BC
Practice Location Address:

7520 SURRATTS RD
CLINTON, MD
20735-3353

Practice Phone: 301-856-1660
Practice Fax:

1306288964 — CENTER FOR PAIN MANAGEMENT LLC
Practice Location Address:

7501 SURRATTS RD , SUITE 202
CLINTON, MD
20735-3362

Practice Phone: 301-877-6110
Practice Fax: 301-887-2695

1659115996 — MIND RENEWED PSYCHIATRY LLC
Practice Location Address:

9015 WOODYARD RD STE 202
CLINTON, MD
20735-4209

Practice Phone: 202-800-8919
Practice Fax: 771-717-8669

Directions to “ LATASHA LYNN ADELEKE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.