Latisha Booker, is a
Social Worker based in Vallejo, California. Latisha Booker is licensed to practice in California (license number 102171) and her current practice location is
355 Tuolumne St # Ms 20-300, Vallejo, California. She can be reached at her office (for appointments etc.) via phone at
(707) 553-5327.
NPI number for Latisha Booker is 1235596073 and her current mailing address is 355 Tuolumne St # Ms 20-300, Vallejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235596073.
Healthcare Provider's Profile
| Full Name | Latisha Booker |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 355 Tuolumne St # Ms 20-300, Vallejo, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235596073
- Provider Enumeration Date: 01/25/2016
- Last Update Date: 06/28/2023
Medical Identifiers
Medical identifiers for Latisha Booker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235596073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5276-R (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 102171 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 102171 (California) | 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. Latisha Booker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Latisha Booker,
355 Tuolumne St # Ms 20-300,
Vallejo, CA 94590-5700
Ph: (707) 553-5327 | Latisha Booker,
355 Tuolumne St # Ms 20-300,
Vallejo, CA 94590-5700
Ph: (707) 553-5327 |
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