Daniel Edmund Lange in Appleton - Clinical
Daniel Edmund Lange - NPI 1194809509
Daniel Edmund Lange is a Clinical in Appleton, Wisconsin. Daniel Edmund Lange practices all healthcare services and medical treatments related to Clinical. The NPI Number for Daniel Edmund Lange is 1194809509. The last update date is 2007-07-08.
Daniel Edmund Lange's current location address is 10 Tri Park Way, Appleton, Wisconsin. You can contact this provider via phone number 9208310070 and fax number 9208317939. The mailing address for Daniel Edmund Lange is 10 Tri Park Way, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Edmund Lange |
|---|---|
| Address | 10 Tri Park Way, Appleton, Wisconsin |
| Phone Number | 9208310070 |
| Fax Number | 9208317939 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1194809509 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10 Tri Park Way |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549141658 |
| Phone Number | 9208310070 |
| Fax Number | 9208317939 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 16-123 |
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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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What is the unique 10-digit identification code issued to Daniel Edmund Lange by the Centers for Medicare & Medicaid Services?
The Daniel Edmund Lange has been assigned the NPI (National Provider Identifier) 1194809509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Daniel Edmund Lange?
The Daniel Edmund Lange is physically situated at 10 Tri Park Way, in the city of Appleton, state of WI, with the postal code 549141658.
What is the Daniel Edmund Lange's specialty and taxonomy code?
The Daniel Edmund Lange's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194809509 to Daniel Edmund Lange?
The Centers for Medicare & Medicaid Services originally issued the 1194809509 to Daniel Edmund Lange on 2006-10-24.
When was the Daniel Edmund Lange's information last updated?
The Daniel Edmund Lange's information was last updated on 2007-07-08.