Active NPI
La Vang, LCSW
- Clinical Social Worker
- Asheboro, NC
National Provider Identifier
1124042536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005298
- Practice address
- 110 W Walker Ave
Asheboro, NC 27203-6760 - Phone
- (336) 633-7043
- Fax
- (336) 625-4969
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C005298 | NC | Primary |
Addresses
Primary practice location
110 W Walker Ave
Asheboro, NC 27203-6760
Mailing address
PO Box 9
West End, NC 27376-0009
Phone (910) 673-9111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106675 | Medicaid | NC |
Other names 1
- La Yang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005298 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204588800000",
"number": "1124042536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "WEST END",
"state": "NC",
"postal_code": "273760009",
"telephone_number": "910-673-9111",
"fax_number": "910-673-6202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W WALKER AVE",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272036760",
"telephone_number": "336-633-7043",
"fax_number": "336-625-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "LA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2008-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106675",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LA",
"last_name": "YANG",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.