Individual provider Active NPI

Stephanie Emma Lange, LMSW, ACSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1497789796
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070844 Issued in MI
Practice address
22550 Hall Rd
Clinton Township, MI 48036-1189
Phone
(586) 465-8332
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801070844 MI Primary

Addresses

Primary practice location

22550 Hall Rd
Clinton Township, MI 48036-1189

Mailing address

22550 Hall Rd
Clinton Township, MI 48036-1189
Phone (586) 465-8332

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

LicenseStateTypeSpecialty
6801070844MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Macomb Family Services, Inc. Clinical Past Accepting new patients
Downriver Community Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1497789796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22550 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361189",
            "telephone_number": "586-465-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22550 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361189",
            "telephone_number": "586-465-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "STEPHANIE",
        "middle_name": "EMMA",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.