1649874991 NPI number — MS. NATALIA LANGNER SMITH LICSW, PIP

Table of content: MS. NATALIA LANGNER SMITH LICSW, PIP (NPI 1649874991)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649874991 NPI number — MS. NATALIA LANGNER SMITH LICSW, PIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SMITH
Provider First Name:
NATALIA
Provider Middle Name:
LANGNER
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW, PIP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LANGNER
Provider Other First Name:
NATALIA
Provider Other Middle Name:
ANNA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LICSW, PIP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649874991
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7311 FLATWOODS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHPORT
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35473-1725
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-260-5990
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7311 FLATWOODS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHPORT
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35473-1725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-260-5990
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/27/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  4289C , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com