1598058380 NPI number — LAURA O LANGER, LCSW

Table of content: (NPI 1598058380)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598058380 NPI number — LAURA O LANGER, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAURA O LANGER, LCSW
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598058380
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
414-416 ALLEGHENY RIVER BLVD.
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
OAKMONT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15139-1735
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-828-0765
Provider Business Mailing Address Fax Number:
412-828-5660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
414-416 ALLEGHENY RIVER BLVD.
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
OAKMONT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15139-1735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-828-0765
Provider Business Practice Location Address Fax Number:
412-828-5660
Provider Enumeration Date:
05/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LANGER
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
O'GRADY
Authorized Official Title or Position:
LICENSED CLINICAL SOCIAL WORKER
Authorized Official Telephone Number:
412-828-0765

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW001602L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1528183 . This is a "GATEWAY MEDICARE ASSURED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 154446 . This is a "VALUE OPTIONS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 233102170 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5402655 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 627374 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 201487 . This is a "COMMUNITY CARE BEHAVIORAL HEALTH (UPMC)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1022246690001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 259868000 . This is a "MAGELLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com