Provider Demographics
NPI:1912059403
Name:LANGMESSER, KARENNA M (LMSW, ACSW)
Entity Type:Individual
Prefix:
First Name:KARENNA
Middle Name:M
Last Name:LANGMESSER
Suffix:
Gender:F
Credentials:LMSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 MAXWELL AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-2220
Mailing Address - Country:US
Mailing Address - Phone:248-835-5434
Mailing Address - Fax:
Practice Address - Street 1:3641 N FIVE LAKES RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-8333
Practice Address - Country:US
Practice Address - Phone:248-835-5434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010209081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty