Elizabeth Langevin, LCSW – Clinical Social Worker

Key facts

NPI: 1780294348
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 010677 (CT)
Practice address: 21 Sand Hill Rd
Weatogue, CT 06089-9601
Phone: (860) 306-1396
NPI assigned: Aug 7, 2020
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
010677	CT	MD	Clinical Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	010677	CT	Yes

Addresses

Primary practice location

21 Sand Hill Rd
Weatogue, CT 06089-9601

Mailing address

21 Sand Hill Rd
Weatogue, CT 06089-9601
Phone (860) 306-1396

Other names

Liz Langevin Professional name

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	Weatogue

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 7, 2020.

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1780294348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SAND HILL RD",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899601",
            "telephone_number": "860-306-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SAND HILL RD",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899601",
            "telephone_number": "860-306-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEVIN",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Weatogue",
            "affiliation": "N",
            "address_1": "21 Sand Hill Rd",
            "city": "Weatogue",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060899601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "LANGEVIN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Weatogue, CT

All providers in Weatogue, CT · Clinical Social Worker in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.