Individual provider Active NPI

Michael Tangunu Lanjo, LMSW

  • Social Worker
  • Poughkeepsie, NY
National Provider Identifier
1972950459
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
088974 Issued in NY
Practice address
21 Franklin St
Apt. 2
Poughkeepsie, NY 12601-4307
Phone
(845) 309-2380
NPI assigned
May 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 088974 NY Primary

Addresses

Primary practice location

21 Franklin St
Apt. 2
Poughkeepsie, NY 12601-4307

Mailing address

21 Franklin St
Apt. 2
Poughkeepsie, NY 12601-4307
Phone (845) 309-2380

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
088974NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1972950459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FRANKLIN ST",
            "address_2": "APT. 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014307",
            "telephone_number": "845-309-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FRANKLIN ST",
            "address_2": "APT. 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014307",
            "telephone_number": "845-309-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANJO",
        "first_name": "MICHAEL",
        "middle_name": "TANGUNU",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.