Mary Lynn Galonek Langevin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114365 Issued in MA

Practice address

280 Tinkham Rd
Springfield, MA 01129-1935

Phone

(413) 731-4904

NPI assigned

Jul 13, 2018

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

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1265918262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FARQUHAR RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 TINKHAM RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291935",
            "telephone_number": "413-731-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALONEK LANGEVIN",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Katherine Gallien
• Francesca Gallo, MD
• Sheila A Gallo, M.D.
• Stephen J Gallo, M.D.
• Amanda M Galloway, PAC
• Bennett Ian Galperin, DMD
• Leslie A Galvin, APRN
• Melissa Gamache
• Gandara Mental Health Center
• Gandara Mental Health Center Inc

• Clinical Social Worker in Springfield, MA
• Providers in Springfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.