Active NPI
Alyse Langhorst, MSW, LLMSW
- Clinical Social Worker
- Owosso, MI
National Provider Identifier
1710255716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801093455
- Practice address
- 1555 Industrial Dr
Owosso, MI 48867-9775 - Phone
- (989) 723-6791
- Fax
- (989) 725-5061
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801093455 | MI | Primary |
Addresses
Primary practice location
1555 Industrial Dr
Owosso, MI 48867-9775
Mailing address
PO Box 428
Owosso, MI 48867-0428
Phone (989) 723-6791
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 750910401 | Other | MI | BCCHRY |
| 750910401 | Other | MI | BCMI |
| 018113 | Other | MI | MIDWEST MEDICAID |
| 00260F7 | Other | MI | HAP |
| 750910401 | Other | MI | BCTR |
| 7910401 | Other | MI | BCBSFED |
| XX19153 | Other | MI | HEALTHPLUS |
| 750910401 | Other | MI | BCOOS |
| 750910401 | Other | MI | BCBS MEDICARE ADVANTAGE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093455 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1710255716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488670428",
"telephone_number": "989-723-6791",
"fax_number": "989-725-5061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 INDUSTRIAL DR",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679775",
"telephone_number": "989-723-6791",
"fax_number": "989-725-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGHORST",
"first_name": "ALYSE",
"credential": "MSW, LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801093455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCCHRY",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMI",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST MEDICAID",
"identifier": "018113",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "00260F7",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCTR",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFED",
"identifier": "7910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "XX19153",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCOOS",
"identifier": "750910401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MEDICARE ADVANTAGE",
"identifier": "750910401",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.