Individual ProviderLaticia WestonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address722 Janey Dr, Farmington, MO 63640-9209(573) 275-8028PECOS EnrollmentBased on the most recent information from CMS, provider Laticia Weston is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:13 AM.Profile DetailsProvider ID1164814679Provider TypeIndividualFull NameWeston, LaticiaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date2/21/2015Last Updated12/12/2019Contact InformationPractice LocationPractice Address722 Janey Dr, Farmington, MO 63640-9209Phone(573) 275-8028FaxUnlisted FaxMailing LocationMailing Address722 Janey Dr, Farmington, MO 63640-9209Phone(573) 275-8028FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2014025368Missouri