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MR. RICHARD THEODORE LANGE LCSW NPI 1609991470


NPI Information

NPI: 1609991470
Provider Name: MR. RICHARD THEODORE LANGE, LCSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
108 SOMERDALE RD
VOORHEES, NJ
ZIP 08043
Phone: (856) 428-5688
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MR. Richard Theodore Lange, LCSW is a professional counselor in Voorhees, NJ. MR. Richard Theodore Lange, LCSW NPI is 1609991470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

108 SOMERDALE RD
VOORHEES, NJ
ZIP 08043-901
Phone: (856) 428-5688
Fax: (856) 795-4094

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional37PC00241100NEW JERSEYYes
21041C0700XSocial WorkerClinical44SC05250800NEW JERSEYX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17119413OTHERNEW JERSEYAETNA BEHAVIORAL HEALTH
200166363300OTHERNEW JERSEYINDEPENDENCE BC BC
32321500000OTHERNEW JERSEYAMERIHEALTH PPO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.