Individual provider Active NPI

Alyse Lange, LMSW, IBCLC

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1831642719
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801114754 Issued in MI
Practice address
4341 S Westnedge Ave Ste 1203
Kalamazoo, MI 49008-3284
Phone
(269) 823-2675
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-99168 MI
Social Worker 104100000X 6801114754 MI Primary

Addresses

Primary practice location

4341 S Westnedge Ave Ste 1203
Kalamazoo, MI 49008-3284

Mailing address

125 Gilkison Ave
Kalamazoo, MI 49006-8320
Phone (269) 615-0013

Other practice location 1

125 Gilkison Ave
Kalamazoo, MI 49006-8320
Phone (269) 615-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220826002080 MI Practitioner - Clinical Social Worker 3779967633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29532 Southfield Rd
Suite 115
Southfield, MI 48076-2023
Phone (269) 544-9092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114754MIMDSocial Worker
L-99168MIMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Cindy Vanderweele LLC Social Worker CurrentSince Aug 22, 2022 Accepting new patients
Alyse Lange LLC Clinical CurrentSince Dec 20, 2025 Accepting new patients

Locations

4341 S Westnedge Ave
Ste 1203
Kalamazoo, MI 49008
Phone (269) 615-7637

1001 2nd St
Kalamazoo, MI 49001
Phone (616) 589-5424

6130 Lovers Ln
Portage, MI 49002
Phone (269) 501-5017

29532 Southfield Rd
Ste 115
Southfield, MI 48076
Phone (248) 382-8984

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1831642719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GILKISON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490068320",
            "telephone_number": "269-615-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 S WESTNEDGE AVE STE 1203",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083284",
            "telephone_number": "269-823-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Gilkison Ave",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490068320",
            "country_code": "US",
            "telephone_number": "269-615-0013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "ALYSE",
        "credential": "LMSW, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MI",
            "license": "L-99168",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.