Evan Andrew Langholt in Mentor - Clinical

Evan Andrew Langholt - NPI 1053441022

Evan Andrew Langholt is a Clinical in Mentor, Ohio. Evan Andrew Langholt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evan Andrew Langholt is 1053441022. The last update date is 2007-07-08.

Evan Andrew Langholt's current location address is 7350 Palisades Pkwy, Mentor, Ohio. You can contact this provider via phone number 4409181000 and fax number 4409181029. The mailing address for Evan Andrew Langholt is 7350 Palisades Pkwy, Mentor, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Evan Andrew Langholt
Address 7350 Palisades Pkwy, Mentor, Ohio
Phone Number 4409181000
Fax Number 4409181029
Sole Proprietor N
Credentials MSSA LISW

NPI Number Detail

NPI Number 1053441022
Provider Enumeration Date 2007-03-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7350 Palisades Pkwy
City Mentor
State Ohio (OH)
Post Code 440605302
Phone Number 4409181000
Fax Number 4409181029

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No I8475
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Evan Andrew Langholt

What is the unique identifier code issued to Evan Andrew Langholt by the Centers for Medicare & Medicaid Services?

The Evan Andrew Langholt has been assigned the NPI (National Provider Identifier) 1053441022. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Evan Andrew Langholt?

The Evan Andrew Langholt is situated at 7350 Palisades Pkwy, in the city of Mentor, state of OH, with the zip code 440605302.

What is Evan Andrew Langholt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Evan Andrew Langholt is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Evan Andrew Langholt receive its 1053441022 assignment from the Centers for Medicare & Medicaid Services?

The Evan Andrew Langholt was assigned its 1053441022 by the Centers for Medicare & Medicaid Services on 2007-03-07.

When was the information related to Evan Andrew Langholt most recently updated or refreshed?

The details pertaining to the Evan Andrew Langholt, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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