Nicole Lang

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-29300 Issued in ID

Practice address

4477 W Emerald St Ste A150
Boise, ID 83706-2027

Phone

(208) 261-2377

NPI assigned

Dec 28, 2022

Last updated

Dec 28, 2022By the provider in NPPES

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1417660044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 W ROBERTSON DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092177",
            "telephone_number": "208-261-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W EMERALD ST STE A150",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062027",
            "telephone_number": "208-261-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-29300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Joy Lane, LCPC
• Michael J Lane, PA-C
• Scott Anderson Lane, FNP
• Wendy Lane, LPN
• James Douglas Lang, PA-C
• Carly Lange
• Jamie K Lange, LPC
• Samantha Rae Lange, PA-C
• Theodore E Lange, MD
• Kylie Langer, LMSW

• Clinical Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.