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LATESAH ROSHA BURKS LCSW
NPI 1700620960
Social Worker - Clinical in Madison, MS

Active since June 22, 2024PECOS Enrolled
105 EXECUTIVE DR, MADISON, MS 39110(601) 258-0818 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Latesah Rosha Burks Lcsw NPPES

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

LATESAH ROSHA BURKS LCSW (NPI 1700620960) is an individual clinical provider in Madison, Mississippi, licensed in Mississippi (C11093) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700620960
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATESAH ROSHA BURKSCredential: LCSW
Location Address105 EXECUTIVE DRMadison, MS 39110-8496
Mailing Address205 Travis CvFlora, MS 39071-8908 · (601) 258-0818
Phone(601) 258-0818
Sole ProprietorYes
Enumeration DateJune 22, 2024
NPPES CertifiedJune 22, 2024
✔ NPI 1700620960 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 MS · C11093
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.
105 EXECUTIVE DR, Madison, MS 39110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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)

Latesah Rosha Burks 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 39110 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 $51.65 – $159.18
Typical copayment $0.00 (range $12.91 – $39.79)
Most-billed visit code NA
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN C WEBB L.P.C.
Counselor
105 EXECUTIVE DR
MADISON, MS 39110
Madison County (601) 506-2292

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 Latesah Burks's NPI number?

The NPI number for Latesah Burks is 1700620960. It was assigned to this individual provider in the NPPES registry on June 22, 2024.

Where is Latesah Burks located?

Latesah Burks practices at 105 Executive Dr, Madison, MS 39110. The listed phone number is (601) 258-0818.

What is Latesah Burks's specialty?

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

Is Latesah Burks enrolled in Medicare?

Yes. Latesah Burks is registered in the Medicare PECOS enrollment system.

What insurance does Latesah Burks accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Latesah Burks 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 Latesah Burks was last updated on June 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.