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

MS. Lateasa Linette Moore, LLMSW

Individual provider Social Worker · NPI 1982934147

MS. Lateasa Linette Moore, LLMSW is a Social Worker in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

1939 Division Ave S
Grand Rapids, MI 49507-2459
Phone: (616) 247-3815
Fax: (616) 245-0450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801091630 (MI)

Record details

NPI number1982934147
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJanuary 11, 2010
Last updated in NPPESJanuary 11, 2010

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