Provider Demographics
NPI:1831859008
Name:LANGEVIN, MICHAEL PETER (MSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PETER
Last Name:LANGEVIN
Suffix:
Gender:
Credentials:MSW
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:PETER
Other - Last Name:LANGEVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1933 ELYSIAN FIELDS AVE APT B
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70117-8160
Mailing Address - Country:US
Mailing Address - Phone:143-426-0995
Mailing Address - Fax:
Practice Address - Street 1:1202 MONROE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70053
Practice Address - Country:US
Practice Address - Phone:504-518-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
LA17126101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health