MR. CHARLES VINCENT LANGE (NPI# 1790020840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790020840 |
| Entity Type | Individual |
| Full Name | MR. CHARLES VINCENT LANGE |
| Credential | LCSW |
| Practice Address |
1007 North Main Street Dayville CT 06241-0839 |
| Practice Telephone | 8607742020 |
| Mailing Telephone | 8607742020 |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
003893 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518094614 | Charles Howard Lange | Chiropractor | 5152 Us 31 N, Acme, MI 49610 | 2007-02-27 |
| 1881985802 | Charles Elliott Lange | Emergency Medicine | 2700 Nw Stewart Pkwy, Dept of Emergency Medicine, Mercy Medical Center, Roseburg, OR 97471 | 2011-04-25 |
| Street Address |
1007 NORTH MAIN STREET |
| City | DAYVILLE |
| State | CT |
| Zip Code | 06241-0839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437183175 | James Alan Garland | Social Worker | 1007 North Main Street, Dayville, CT 06241 | 2006-07-10 |
| 1609158104 | Erica Loren Baloga | Marriage & Family Therapist | 1007 North Main Street, Dayville, CT 06241-0839 | 2011-09-12 |
| 1184740938 | Donna Marie Waldron | Social Worker | 1007 North Main Street, Dayville, CT 06241-0839 | 2007-03-22 |
| 1366593303 | Timothy James Corbitt | Social Worker | 1007 North Main Street, Dayville, CT 06241-0839 | 2007-01-16 |
| 1629149059 | Kathleen F Cucchiara | Social Worker | 1007 North Main Street, Dayville, CT 06241 | 2006-11-09 |
| 1457447948 | Lawrence Gerald Ash-morgan | Psychologist | 1007 North Main Street, Dayville, CT 06241-0839 | 2006-10-04 |
| 1881786804 | Marybeth L Kerr | Social Worker | 1007 North Main Street, Dayville, CT 06241-0839 | 2006-09-28 |
| 1801804042 | Lauren Kate Cardone | Social Worker | 1007 North Main Street, Dayville, CT 06241-0839 | 2006-08-04 |
| 1558385963 | Josephine Ann Maben | Social Worker | 1007 North Main Street, Dayville, CT 06241-0839 | 2006-07-27 |
| 1740202274 | Deborah J Johnson | Social Worker | 1007 North Main Street, Dayville, CT 06241 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
| 1962656397 | Kimbal Coventry Sheffield | Dentist | 1040 N. Main Street, Kimbal Sheffield, D.d.s., L.L.C., Dayville, CT 06241 | 2008-11-12 |
| 1033378435 | David Marc Caron | Dentist | 24 Putnam Pike, Dayville, CT 06241 | 2008-06-02 |
| 1447353156 | Kimbal Sheffield Dds and David Caron Dmd LLC | Dentist | 1040 N Main Street, Dayville, CT 06241 | 2006-09-07 |
| 1811906837 | Kerry Lee Methot | Massage Therapist | 545 Hartford Turnpike, Dayville, CT 06241 | 2006-08-07 |
| 1356366538 | Celeste R. Chartier | Counselor | 1007 North Main St., Dayville, CT 06241 | 2006-07-12 |
| 1376575241 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 1094 Killingly Commons Dr, Dayville, CT 06241 | 2006-07-07 |
| 1801367495 | Samer Ashour | Nurse Practitioner | 1007 N Main St, Dayville, CT 06241 | 2018-12-08 |
| 1841760402 | Melissa Souza | Physical Therapist | 150 Ware Rd., Dayville, CT 06241 | 2018-11-27 |
| 1518458637 | Luke Dery | Counselor | 1007 N Main St, Dayville, CT 06241 | 2018-05-24 |
| Find all providers in zip 06241 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679839997 | Stephanie A Fagan | Social Worker | 1006 N Main Street, Dayville, CT 06241-2170 | 2012-04-11 |
| 1346416435 | Erin Gardner-flores | Social Worker | 1007 N Main Street, Dayville, CT 06241-0839 | 2008-05-07 |
| 1457371544 | James Lester Ledbetter | Social Worker | 1007 N. Main St., Dayville, CT 06241-0839 | 2006-07-20 |
| 1437183175 | James Alan Garland | Social Worker | 1007 North Main Street, Dayville, CT 06241 | 2006-07-10 |
| 1245273887 | Kerri L Griffin | Social Worker | 553 Hartford Pike, Suite 4 Bell Park Professional Suites, Dayville, CT 06241-2150 | 2006-06-13 |
| 1619940301 | Debra Henriette Benveniste | Social Worker | 1039 N Main St, Dayville, CT 06241-2170 | 2006-02-11 |
| 1568062834 | Ashley O'neill | Social Worker | 1007 N Main St, Dayville, CT 06241-2170 | 2020-10-27 |
| 1801411582 | Taylor Napolitano | Social Worker | 1007 N Main St, Dayville, CT 06241-2170 | 2020-06-09 |
| 1639794340 | Clay Valentin | Social Worker | 1007 N Main St, Dayville, CT 06241-2170 | 2020-06-09 |
| 1124649298 | Hali Michelle Vaclavik | Social Worker | 11 Dog Hill Rd, Dayville, CT 06241-2106 | 2020-04-30 |
| Find all providers in DAYVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.