Healthcare Provider Details

I. General information

NPI: 1144980590
Provider Name (Legal Business Name): VERNA M. LATCHMAN ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VERNA M. LATCHMAN DSW

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 HUNTINGTON DR STE 101
SOUTH PASADENA CA
91030-5444
US

IV. Provider business mailing address

1499 HUNTINGTON DR STE 101
SOUTH PASADENA CA
91030-5444
US

V. Phone/Fax

Practice location:
  • Phone: 310-210-6101
  • Fax:
Mailing address:
  • Phone: 310-210-6101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number128606
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128606
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: