Individual provider Active NPI

Paula Colleen Lange, LISW-S

  • Clinical Social Worker
  • Mason, OH
National Provider Identifier
1942530886
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1451140 Issued in OH
Practice address
9378 S Mason Montgomery Rd # 378
Mason, OH 45040-8827
Phone
(513) 904-3222
Fax
(844) 740-0064
NPI assigned
Dec 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 I.1451140 OH Primary

Addresses

Primary practice location

9378 S Mason Montgomery Rd # 378
Mason, OH 45040-8827

Mailing address

9378 S Mason Montgomery Rd # 378
Mason, OH 45040-8827
Phone (513) 904-9322

Other identifiers 1

IdentifierTypeStateIssuer
0188163MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
I.1451140OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Inspired Counseling Services, LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients

Locations

7577 Central Parke Blvd
Ste 218
Mason, OH 45040
Phone (513) 904-9322

Organizations & group practices 1

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": "1261785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1942530886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 S MASON MONTGOMERY RD # 378",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408827",
            "telephone_number": "513-904-9322",
            "fax_number": "844-740-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 S MASON MONTGOMERY RD # 378",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408827",
            "telephone_number": "513-904-3222",
            "fax_number": "844-740-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "PAULA",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.