MEDICARE: MRS. LATONYA J. KETCHUP LMSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1073317988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LATONYA J. KETCHUP LMSW

Provider Business Mailing Address
First Line	:	601 S RANCHO DR STE A10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4898
Country	:	US
Telephone Number	:	702-437-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 S RANCHO DR STE A10
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4898
Country	:	US
Telephone Number	:	702-437-4673
Fax Number	:

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

Provider Enumeration Date	:	04/01/2025
Last Update Date	:	04/06/2026

Similar Medicare Providers

1518133529 — H.O.P.E. COUNSELING SERVICES LLC
Practice Location Address:

601 S RANCHO DR STE A10
LAS VEGAS, NV
89106-4898

Practice Phone: 702-445-5653
Practice Fax: 702-438-4673

1881935237 — MR. RAFAEL ESPIQUE CALLANTA NURSE PRACTITIONER
Practice Location Address:

601 S RANCHO DR STE A6
LAS VEGAS, NV
89106-4898

Practice Phone: 702-386-0909
Practice Fax: 702-386-0707

1043681323 — ELAINE CHESTER
Practice Location Address:

601 S RANCHO DR STE A10
LAS VEGAS, NV
89106-4898

Practice Phone: 24-374-6737
Practice Fax:

1285187120 — TONIA L PEREZ
Practice Location Address:

601 S RANCHO DR STE A10
LAS VEGAS, NV
89106-4898

Practice Phone: 702-437-4673
Practice Fax: 702-438-4673

1588183222 — ERICA MARIE WILLIAMS
Practice Location Address:

601 S RANCHO DR STE A7
LAS VEGAS, NV
89106-4898

Practice Phone: 702-386-0254
Practice Fax:

1174042873 — MARGARET ANN MEYER
Practice Location Address:

601 S RANCHO DR STE A7
LAS VEGAS, NV
89106-4898

Practice Phone: 702-386-0254
Practice Fax: 702-386-0276

Directions to “ MRS. LATONYA J. KETCHUP LMSW” 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 © 2007-2026 (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.