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Latashia M Mcleod

Social Worker

Behavioral Health & Social Service Providers

11828 Fishing Point Dr Ste 102, Newport News, VA 23606-4500

PECOS Enrollment

This provider is enrolled in PECOS as LATASHIA MCLEOD.

Based on the most recent information from CMS, provider Latashia M Mcleod is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1548155195
Provider Type
Individual
Full Name
Mcleod, Latashia M
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
6/12/2025
Last Updated
10/30/2025

Contact Information

Practice Location

11828 Fishing Point Dr Ste 102, Newport News, VA 23606-4500

(757) 746-2332

Unlisted Fax

Mailing Location

90 Park Dr, Palmyra, VA 22963-3255

(919) 480-6899

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0904018367 Virginia

Latashia M Mcleod

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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