Provider Demographics
NPI:1497324917
Name:LATEF, RASHIDA (LMSW)
Entity Type:Individual
Prefix:
First Name:RASHIDA
Middle Name:
Last Name:LATEF
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 FORD AVE APT 1105
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1565
Mailing Address - Country:US
Mailing Address - Phone:646-643-2103
Mailing Address - Fax:
Practice Address - Street 1:1727 KING ST STE 300
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2761
Practice Address - Country:US
Practice Address - Phone:571-481-1003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-19
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0903003203104100000X
NY089364104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker