Nicole Annette Langdon, LMSW, SSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085101 Issued in MI

Practice address

1235 E Grand River Rd
Williamston, MI 48895-8303

Phone

(517) 290-3774

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Young Mind Therapy, LLC

  • Clinical Social Worker
  • Williamston, MI
  • NPI 1861034704

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1164070967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 LIVE OAK TRL",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959344",
            "telephone_number": "517-290-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E GRAND RIVER RD",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488958303",
            "telephone_number": "517-290-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGDON",
        "first_name": "NICOLE",
        "middle_name": "ANNETTE",
        "credential": "LMSW, SSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Krummrey, DNP, PMHNP, FNP-C
• Charlene Crickon Kushler, PH.D.
• Laberge Family Practice PLLC
• James P Laberge, DO
• Audra Mae Lalonde
• Lansing Ophthalmology, P.C.
• Kermit L Lemon, O.D.
• Lo Optical, LLC
• Amanda Lorencz, OD
• Abigail Nash, LPC

• All providers in Williamston, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.