Provider Demographics
NPI:1780214197
Name:CAIN, LATOYA CHILD (MSW)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:CHILD
Last Name:CAIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 NW 8TH PL APT 2
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-6737
Mailing Address - Country:US
Mailing Address - Phone:201-878-6132
Mailing Address - Fax:
Practice Address - Street 1:2425 NW 8TH PL APT 2
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-6737
Practice Address - Country:US
Practice Address - Phone:201-878-6132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical