Healthcare Provider Details

I. General information

NPI: 1770051088
Provider Name (Legal Business Name): LATOSHA MESHUN HOWARD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 EDDIE DOWLING HWY STE 8
NORTH SMITHFIELD RI
02896-7322
US

IV. Provider business mailing address

PO BOX 64
CHULA GA
31733-0064
US

V. Phone/Fax

Practice location:
  • Phone: 508-500-6168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006544
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: