Provider Demographics
NPI:1760663371
Name:LANGER-WARREN, NANCI (LCSW)
Entity Type:Individual
Prefix:PROF
First Name:NANCI
Middle Name:
Last Name:LANGER-WARREN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:PROF
Other - First Name:NANCI
Other - Middle Name:
Other - Last Name:LANGER-WARREN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:17 LINDER STREET
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446
Mailing Address - Country:US
Mailing Address - Phone:678-491-1078
Mailing Address - Fax:
Practice Address - Street 1:17 LINDER STREET
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446
Practice Address - Country:US
Practice Address - Phone:678-491-1078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0020201041C0700X
AL3658C1041C0700X
GA0020201041C0700X
FL91871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GACSW002020OtherLCSW #