Individual provider Active NPI

Suzanne Teresa Klang, MSW LCSW

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1659664019
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C002662 Issued in NC
Practice address
341 Courtyard LN
Fayetteville, NC 28303-6103
Phone
(910) 364-2919
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C002662 NC Primary
Clinical Social Worker 1041C0700X 1021682 MA

Addresses

Primary practice location

341 Courtyard LN
Fayetteville, NC 28303-6103

Mailing address

341 Courtyard LN
Fayetteville, NC 28303-6103
Phone (910) 364-2919

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1021682MAMDClinical Social Worker
C002662NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1659664019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 COURTYARD LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036103",
            "telephone_number": "910-364-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 COURTYARD LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036103",
            "telephone_number": "910-364-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLANG",
        "first_name": "SUZANNE",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002662",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.