Stacy Lee Lange, MSW,LCSW,CADCII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4164 Issued in OR

Practice address

15100 Boones Ferry Rd Ste 700C
Lake Oswego, OR 97035

Phone

(503) 888-2758

Fax

(503) 635-9127

NPI assigned

May 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1396971735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 BOONES FERRY RD STE 700C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353469",
            "telephone_number": "503-888-2758",
            "fax_number": "503-635-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 BOONES FERRY RD STE 700C",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-888-2758",
            "fax_number": "503-635-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "STACY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW,CADCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "96-10-83",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "4164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Elaine Lamb
• Stephanie Diane Lambert, PT, DPT
• James A Lampert, RPH
• Derek Edward Lamprecht, D.O.
• Ashley Lancaster, LMT
• Beth Hoover Langhorst, PH.D.
• Justin Langlais, N.D.
• Rain Lanning, L.AC.
• Rachel Lantz
• Miranda J Laraut

• Clinical Social Worker in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.