MEDICARE: LATOSHA MESHUN HOWARD LCSW

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	CSW006544	GA

General Provider Information

NPI Number	:	1770051088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOSHA MESHUN HOWARD LCSW

Provider Business Mailing Address
First Line	:	PO BOX 64
Second Line	:
City	:	CHULA
State	:	GA
Zip	:	31733-0064
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 EDDIE DOWLING HWY STE 8
Second Line	:
City	:	NORTH SMITHFIELD
State	:	RI
Zip	:	02896-7322
Country	:	US
Telephone Number	:	508-500-6168
Fax Number	:

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

Provider Enumeration Date	:	11/05/2018
Last Update Date	:	03/03/2026

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