Weston Lange

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21522 Issued in CA

Legal business name

WESTON LANGE

Practice address

125 N Broadway
Sutie 2F
Turlock, CA 95380-4811

Phone

(209) 678-8680

Fax

(209) 667-8680

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Weston Lange, LCSWNPI 1487789731

Title

Licensed Clinical Social Worker

Phone

(209) 678-8680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Weston Garrett Lange, LCSW

  • Clinical Social Worker
  • Turlock, CA
  • NPI 1487789731
  NPD (past) Authorized official

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1861830218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N BROADWAY",
            "address_2": "SUTIE 2F",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804811",
            "telephone_number": "209-678-8680",
            "fax_number": "209-667-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N BROADWAY",
            "address_2": "SUTIE 2F",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804811",
            "telephone_number": "209-678-8680",
            "fax_number": "209-667-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTON LANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "209-678-8680",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susie M. Wenstrup, M.D.
• Leann Wesner, M.F.T.
• West Coast Podiatry Inc.
• Western Dental Services, Inc.
• Yvonne Westman
• Ashley Janelle Whitmire
• Aurora Wiley
• William Derek Williams, PTA
• Matthew Aaron Williamson, PA
• John Julius Willsen, M.D.

• Clinical Social Worker in Turlock, CA
• Providers in Turlock, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.