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MS. FONDA GAIL LATHAM LCSW
NPI 1306978135
Social Worker - Clinical in Tyler, TX

Active since March 09, 2007PECOS Enrolled
1305 S BAXTER AVE, TYLER, TX 75701(903) 714-1130 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Fonda Gail Latham Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. FONDA GAIL LATHAM LCSW (NPI 1306978135) is an individual clinical provider in Tyler, Texas, licensed in Texas (00557) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306978135
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. FONDA GAIL LATHAMCredential: LCSW
Location Address1305 S BAXTER AVETyler, TX 75701-3404
Mailing Address113 Henry DrBullard, TX 75757-9375 · (903) 714-1130
Phone(903) 714-1130
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306978135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 00557
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1305 S BAXTER AVE, Tyler, TX 75701
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Other Identifiers 2

Medicare ID-Type Unspecified108190302
Medicare ID-Type Unspecified00S40NTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Fonda Gail Latham Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fonda Latham's NPI number?

The NPI number for Fonda Latham is 1306978135. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Fonda Latham located?

Fonda Latham practices at 1305 S Baxter Ave, Tyler, TX 75701. The listed phone number is (903) 714-1130.

What is Fonda Latham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Fonda Latham enrolled in Medicare?

Yes. Fonda Latham is registered in the Medicare PECOS enrollment system.

What insurance does Fonda Latham accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Fonda Latham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fonda Latham was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.