Provider Demographics
NPI:1033655980
Name:LANGSTON, DUVAL S (LMSW)
Entity Type:Individual
Prefix:
First Name:DUVAL
Middle Name:S
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 GALLIER ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-6032
Mailing Address - Country:US
Mailing Address - Phone:504-373-0804
Mailing Address - Fax:
Practice Address - Street 1:200 S BROAD ST STE 103A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6447
Practice Address - Country:US
Practice Address - Phone:504-731-1607
Practice Address - Fax:504-910-3065
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12296405300000X, 171M00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No405300000XOther Service ProvidersPrevention Professional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker