Provider Demographics
NPI:1184659039
Name:LANGSNER, RICHARD (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:LANGSNER
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6113
Mailing Address - Country:US
Mailing Address - Phone:802-490-5580
Mailing Address - Fax:866-239-2939
Practice Address - Street 1:167 MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-3096
Practice Address - Country:US
Practice Address - Phone:802-490-5580
Practice Address - Fax:800-854-8824
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1041C0700X
MA1113211041C0700X
NHEL071341041C0700X
VT089.00010391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30426164Medicaid
NH30426164Medicaid