Kelly Ann King Lange, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013959 Issued in VA

Practice address

1503 Santa Rosa Rd RM 105
Richmond, VA 23229-5105

Phone

(954) 465-7494

NPI assigned

May 18, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1548907892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 PARKWOOD AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232213537",
            "telephone_number": "954-465-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SANTA ROSA RD RM 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295105",
            "telephone_number": "954-465-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KELLY",
        "middle_name": "ANN KING",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "02-ORGANIZATION",
            "identifier": "1043348741",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "Westhampton Family Psychologists",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1503 Santa Rosa Rd Rm 105",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232295105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen M Lane, MD
• Brooklynn Keyona Laney
• Tyler W. Laney, PHD, LCP
• Blythe Lang
• Aiga Langan
• Patricia A Lange, MD
• Nicole Langelier, MD
• Oliver Mixon Whitt Langford, MD
• Maxwell Charles Langhorst, RB, BSN, CCRN, SRNA
• Curtis Langley II

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.