Richard Theodore Lange in Voorhees - Clinical
Richard Theodore Lange - NPI 1609991470
Richard Theodore Lange is a Clinical in Voorhees, New Jersey. Richard Theodore Lange practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard Theodore Lange is 1609991470. The last update date is 2007-07-08.
Richard Theodore Lange's current location address is 108 Somerdale Rd, Voorhees, New Jersey. You can contact this provider via phone number 8564285688 and fax number 8567954094. The mailing address for Richard Theodore Lange is 108 Somerdale Rd, Voorhees, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Theodore Lange |
|---|---|
| Address | 108 Somerdale Rd, Voorhees, New Jersey |
| Phone Number | 8564285688 |
| Fax Number | 8567954094 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1609991470 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 108 Somerdale Rd |
|---|---|
| City | Voorhees |
| State | New Jersey (NJ) |
| Post Code | 80431901 |
| Phone Number | 8564285688 |
| Fax Number | 8567954094 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05250800 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 166363300 | NJ | INDEPENDENCE BC BC | |
| 2321500000 | NJ | AMERIHEALTH PPO | |
| 7119413 | NJ | AETNA BEHAVIORAL HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard Theodore Lange by the Centers for Medicare & Medicaid Services?
The Richard Theodore Lange has been issued the NPI (National Provider Identifier) 1609991470, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Richard Theodore Lange?
The Richard Theodore Lange is physically situated at 108 Somerdale Rd, in the city of Voorhees, state of NJ, with the postal code 80431901.
What is Richard Theodore Lange's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard Theodore Lange is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Richard Theodore Lange's 1609991470 issued?
The Richard Theodore Lange's 1609991470 was issued on 2007-03-20.
When was the information pertaining to Richard Theodore Lange most recently updated or revised?
The details related to Richard Theodore Lange, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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