Diana Langberg, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

X12200 Issued in NM

Practice address

4001 Office Court Dr Ste 102
Santa Fe, NM 87507-4903

Phone

(505) 395-9437

Fax

(505) 930-5427

NPI assigned

Oct 20, 2021

Last updated

Oct 20, 2021By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rubedo Counseling LLC

  • Clinical Social Worker
  • Santa Fe, NM
  • NPI 1225867120

  Single Specialty

  NPD Authorized official
• Earth Spirit Awakenings LLC

  dba Mesa Vista Wellness

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1447490800

  Single Specialty

  NPD

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1629731179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 102",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074903",
            "telephone_number": "505-395-9437",
            "fax_number": "505-930-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 OFFICE COURT DR STE 102",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074903",
            "telephone_number": "505-395-9437",
            "fax_number": "505-930-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGBERG",
        "first_name": "DIANA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "X12200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "X12200",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@mesavistawellness.com",
            "affiliation": "N",
            "endpointDescription": "credentialing email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4001 Office Court Dr Ste 102",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875074903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Landen, MD
• Landmark Medical of Tennessee PC
• Erica Landrau, CCSS
• Maria Landrie
• Wendy Lane
• Wesley Jack Langner, R.PH.
• Andrew Langsam, MD
• Lani Solutions, LLC
• Laura L Lansrud-Lopez, LPCC, LPAT, ATR-BC
• Rebecca Lapera

• Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.