Mr Richard Theodore Lange Jr, LCSW is a
Social Worker - Clinical based in Voorhees, New Jersey. Mr Richard Theodore Lange Jr is licensed to practice in New Jersey (license number 44SC05250800) and his current practice location is
108 Somerdale Rd, Voorhees, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(856) 428-5688.
NPI number for Mr Richard Theodore Lange Jr is 1609991470 and his current mailing address is 300 Kauffman St, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609991470.
Healthcare Provider's Profile
| Full Name | Mr Richard Theodore Lange Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 108 Somerdale Rd, Voorhees, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609991470
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Richard Theodore Lange Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609991470 | NPI | - | NPPES |
| 00166363300 | Other | NJ | INDEPENDENCE BC BC |
| 2321500000 | Other | NJ | AMERIHEALTH PPO |
| 7119413 | Other | NJ | AETNA BEHAVIORAL HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 37PC00241100 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 44SC05250800 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Theodore Lange Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Richard Theodore Lange Jr, LCSW
300 Kauffman St,
Philadelphia, PA 19147-3210
Ph: (215) 463-1829 | Mr Richard Theodore Lange Jr, LCSW
108 Somerdale Rd,
Voorhees, NJ 08043-1901
Ph: (856) 428-5688 |
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