Keisha J. Langolf, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007247A Issued in IN

Legal business name

KEISHA J. LANGOLF, LCSW, LLC

Practice address

2700 Vissing Park Rd
Jeffersonville, IN 47130-5989

Phone

(812) 496-4310

Fax

(502) 805-0690

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Keisha Langolf, LCSW

Title

Member

Phone

(502) 817-0927

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1750836136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E 10TH ST # 365",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307285",
            "telephone_number": "812-496-4310",
            "fax_number": "502-805-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VISSING PARK RD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305989",
            "telephone_number": "812-496-4310",
            "fax_number": "502-805-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEISHA J. LANGOLF, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "LANGOLF",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-817-0927",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007247A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.