Latacho Tishae Barrett, is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
208 Malloy St Ste B, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 520-6080.
Latacho Tishae Barrett is licensed to practice in North Carolina (license number C020121) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1619603339.
Healthcare Provider's Profile
| Full Name | Latacho Tishae Barrett |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 208 Malloy St Ste B, Goldsboro, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Latacho Tishae Barrett graduated from medical school in 2022
NPI Data:
- NPI Number: 1619603339
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 10/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 6709342975
- Enrollment ID: I20260728003457
Medical Identifiers
Medical identifiers for Latacho Tishae Barrett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619603339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | P018026 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C020121 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latacho Tishae Barrett is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Latacho Tishae Barrett,
208 Malloy St Ste B,
Goldsboro, NC 27534-4478
Ph: (984) 520-6080 | Latacho Tishae Barrett,
208 Malloy St Ste B,
Goldsboro, NC 27534-4478
Ph: (984) 520-6080 |
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