Raven J Lang, LICENSE SOCIAL WORKE

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4063C Issued in AL

Practice address

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341

Phone

(251) 432-4117

Fax

(251) 436-7765

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1952886491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 DR MARTIN L KING JR AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035341",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 DR MARTIN L KING JR AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366035341",
            "telephone_number": "251-432-4117",
            "fax_number": "251-436-7765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Prichard",
            "state": "AL",
            "postal_code": "366103912",
            "country_code": "US",
            "telephone_number": "251-301-7011",
            "fax_number": "251-452-1598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "RAVEN",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LICENSE SOCIAL WORKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4063C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Gray Lane, MD
• Daniel R Lane, M.D.
• Molly Miljus Lane, CRNA
• Kristina Lanford, PIP,LCSW
• Alice Marie Lang II
• Jennifer Langhinrichsen-Rohling, PH.D.
• Barry Lynn Langley, D.D.S.
• Janet Marla Langley, LPC
• Kristen Langley
• Caroline Langworthy, LPC,NCC

• Social Worker in Mobile, AL
• Providers in Mobile, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.