Provider Demographics
NPI:1164830899
Name:LANGLEY, LATOYA L (LCSW)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:L
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GERRI LN
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1609
Mailing Address - Country:US
Mailing Address - Phone:914-804-1121
Mailing Address - Fax:
Practice Address - Street 1:16 GERRI LN
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1609
Practice Address - Country:US
Practice Address - Phone:914-804-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076920-11041C0700X
NY12234991041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool