Individual provider · Type 1 NPI

Kelly Ann King Lange, LCSW

Clinical Social Worker · Richmond, VA

NPI number 1548907892 Active

Practice location

1503 Santa Rosa Rd Rm 105
Richmond, VA 23229-5105

Call (954) 465-7494 Map

Mailing address

3128 Parkwood Ave
Richmond, VA 23221-3537

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904013959 (VA)

Clinical Social Worker: 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 interpers…

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About NPI 1548907892

Kelly Ann King Lange, LCSW's National Provider Identifier is 1548907892, issued on May 18, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on May 18, 2022.