Patty Langkopf, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC3680 Issued in ME

Practice address

45 Forest Falls Dr
Suite #2
Yarmouth, ME 04096-6999

Phone

(207) 939-9763

Fax

(207) 846-7756

NPI assigned

Mar 26, 2007

Last updated

Jan 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1811015126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 MOUNTFORT RD",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976919",
            "telephone_number": "207-846-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR",
            "address_2": "SUITE #2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-939-9763",
            "fax_number": "207-846-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGKOPF",
        "first_name": "PATTY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC3680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0024919",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Kittredge, LCSW
• Kelly Kleinman, PH.D.
• Lisa Klop, AU.D.
• Kre Husky Yarmouth Licensee LLC (Bay Square at Yarmouth)
• Lagom Psychology, PLLC
• Peter E. Leonard
• Susan J Levine, LCSW
• Lillian Harris Counseling PLLC
• Elizabeth Lin, MD
• Linda M Jacobus a Professional Corporation

• Clinical Social Worker in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.