| Heather Jean Latta, | |
|
408 S 4th St, Effingham, IL 62401-3703 | |
| (217) 347-5118 | |
| (217) 347-7069 |
| Full Name | Heather Jean Latta |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 408 S 4th St, Effingham, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982917456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.011337 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellness Loft Inc | 2062665110 | 5 |
| Entity Name | Wellness Loft Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689926487 PECOS PAC ID: 2062665110 Enrollment ID: O20130123000528 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Jean Latta, 408 S 4th St, Effingham, IL 62401-3703 Ph: (217) 347-5118 | Heather Jean Latta, 408 S 4th St, Effingham, IL 62401-3703 Ph: (217) 347-5118 |
Jamie Lee Mcclain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N 4th St, Effingham, IL 62401 Phone: 217-347-7179 | |
Mr. Justin E Hampton, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 W Temple Ave Ste 208, Effingham, IL 62401 Phone: 217-342-0211 Fax: 217-342-0232 | |
Larry Edward Quicksall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1901 S 4th St Ste 7, Effingham, IL 62401 Phone: 217-347-5937 | |
Beth Stundon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 S 3rd St, Effingham, IL 62401 Phone: 217-994-4898 | |
Emily Anne Schall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 S 3rd St, Effingham, IL 62401 Phone: 217-343-8242 Fax: 217-994-9206 | |
Afthan Reents, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 N 4th St, Effingham, IL 62401 Phone: 217-347-7179 | |
Mrs. Tamara Nanette Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Ford Ave, Effingham, IL 62401 Phone: 217-347-7600 Fax: 217-342-9733 |