Latesah Rosha Burks, LCSW
NPI 1700620960ActiveIndividual· Social Worker, Clinical· Madison, MS
Social Worker, Clinical (LCSW) in Madison, Mississippi, licensed in MS, with an NPI issued in June 2024. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1700620960 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2024 |
| Last updated in NPPES | Jun 22, 2024 |
| Certified by provider | Jun 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C11093 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MS) |
|---|
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