Individual provider Active NPI

Jessica Rose Langbehn, MSW, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1821361338
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11158 Issued in FL
Practice address
607 S Oregon Ave Apt E
Tampa, FL 33606-2548
Phone
(305) 304-0969
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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 SW11158 FL Primary

Addresses

Primary practice location

607 S Oregon Ave Apt E
Tampa, FL 33606-2548

Mailing address

607 S Oregon Ave Apt E
Tampa, FL 33606-2548
Phone (305) 304-0969

Other identifiers 1

IdentifierTypeStateIssuer
009639200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tampa

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1821361338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S OREGON AVE APT E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062548",
            "telephone_number": "305-304-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S OREGON AVE APT E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062548",
            "telephone_number": "305-304-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGBEHN",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009639200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "607 S Oregon Ave Apt E",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336062548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.