Provider Demographics
NPI:1629147350
Name:LANGBEHN, LORRAINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:
Last Name:LANGBEHN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LORRAINE
Other - Middle Name:
Other - Last Name:LANGBEHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:900 SE OCEAN BLVD
Mailing Address - Street 2:SUITE #232
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2471
Mailing Address - Country:US
Mailing Address - Phone:772-781-1656
Mailing Address - Fax:
Practice Address - Street 1:900 SE OCEAN BLVD
Practice Address - Street 2:SUITE #232
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2471
Practice Address - Country:US
Practice Address - Phone:772-781-1656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW000042761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ7138Medicare ID - Type UnspecifiedLCSW