Individual ProviderLatasha WalkerCase Manager/Care CoordinatorOther Service ProvidersPractice Address1008 Venice Ave, Hammond, LA 70403(985) 662-3799(225) 810-8537PECOS EnrollmentBased on the most recent information from CMS, provider Latasha Walker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1235533126Provider TypeIndividualFull NameWalker, LatashaCredentialBSWGenderFemaleSole ProprietorYesEnumeration Date10/21/2014Last Updated8/3/2018Contact InformationPractice LocationPractice Address1008 Venice Ave, Hammond, LA 70403Phone(985) 662-3799FaxUnlisted FaxMailing LocationMailing Address11581 Ami Ln Unit A, Hammond, LA 70401-4720Phone(225) 810-8537FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1427590801DescriptionMedicaidIssuerUnlistedLouisiana