Individual provider Active NPI

Valerie Claire Kennedy Lang, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1801567912
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010029939 Issued in MO
Practice address
6912 Waldemar Ave
Saint Louis, MO 63139-3538
Phone
(314) 761-7515
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2010029939 MO Primary

Addresses

Primary practice location

6912 Waldemar Ave
Saint Louis, MO 63139-3538

Mailing address

6912 Waldemar Ave
Saint Louis, MO 63139-3538
Phone (314) 761-7515

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
2010029939MOMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: valerie.kennedylang@532070890209284.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1801567912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 WALDEMAR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393538",
            "telephone_number": "314-761-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 WALDEMAR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393538",
            "telephone_number": "314-761-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY LANG",
        "first_name": "VALERIE",
        "middle_name": "CLAIRE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010029939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.