Provider Demographics
NPI:1922071075
Name:LANG, KAREN T (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:T
Last Name:LANG
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3600
Mailing Address - Country:US
Mailing Address - Phone:978-470-0774
Mailing Address - Fax:978-470-3767
Practice Address - Street 1:26 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3600
Practice Address - Country:US
Practice Address - Phone:978-470-0774
Practice Address - Fax:978-470-3767
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-09
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1007241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical