Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latesah Rosha Burks, LCSW

Individual provider Clinical Social Worker · NPI 1700620960

Latesah Rosha Burks, LCSW is a Clinical Social Worker in Madison, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

105 Executive Dr
Madison, MS 39110-8496
Phone: (601) 258-0818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C11093 (MS)

Record details

NPI number1700620960
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 22, 2024
Last updated in NPPESJune 22, 2024
Certification dateJune 22, 2024

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