Provider Demographics
NPI:1245469667
Name:LANGHOFF, JANAE THERESA (LICSW)
Entity type:Individual
Prefix:MS
First Name:JANAE
Middle Name:THERESA
Last Name:LANGHOFF
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 1:152 NORMAN AVE S
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329-9017
Mailing Address - Country:US
Mailing Address - Phone:320-968-7117
Mailing Address - Fax:320-968-7316
Practice Address - Street 1:152 NORMAN AVE S
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329-9017
Practice Address - Country:US
Practice Address - Phone:320-968-7117
Practice Address - Fax:320-968-7316
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN101561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical