Provider Demographics
NPI:1689718652
Name:LANG, BETSY M (MSW)
Entity Type:Individual
Prefix:MS
First Name:BETSY
Middle Name:M
Last Name:LANG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 1ST ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-1862
Mailing Address - Country:US
Mailing Address - Phone:781-462-8899
Mailing Address - Fax:
Practice Address - Street 1:7 ESSEX GREEN DR
Practice Address - Street 2:SUITE 63
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2961
Practice Address - Country:US
Practice Address - Phone:781-462-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1120241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical