Provider Demographics
NPI:1841389954
Name:LANGLEY, ARLENE ROSS (LCSW)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:ROSS
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 1:4410 CUMNOR RD
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3135
Mailing Address - Country:US
Mailing Address - Phone:715-617-6000
Mailing Address - Fax:630-541-6557
Practice Address - Street 1:728 OGDEN AVE STE E
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:715-617-6000
Practice Address - Fax:630-541-6557
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6858-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40973800Medicaid