Alyse Lange LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ALYSE LANGE LLC

Practice address

29532 Southfield Rd, Suite 115
Southfield, MI 48076

Phone

(269) 544-9092

NPI assigned

Dec 16, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alyse Lange, LMSW-CLINICALNPI 1831642719

Title

Psychotherapist

Phone

(269) 544-9092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alyse Lange, LMSW, IBCLC

  • Social Worker
  • Kalamazoo, MI
  • NPI 1831642719

  Clinical

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1083579767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 2ND ST # 1029",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012571",
            "telephone_number": "269-544-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD, SUITE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48076",
            "telephone_number": "269-544-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSE LANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "ALYSE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "269-544-9092",
        "authorized_official_credential": "LMSW-CLINICAL"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.