Lange, Claudia Monica

Lange, Claudia Monica is an sole proprietor health care provider with primary practice located at 110 Cook Ave , Raton NM 87740. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Lange, Claudia Monica can be contacted via phone (575) 643-5258.

Contact Information

Primary practice address
110 Cook Ave Raton NM 87740
Fax: (575) 445-2658
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M05464 New Mexico
Behavioral Health & Social Service Providers / School 1041S0200X M05464 New Mexico

Profile Details

NPI number 1568685048
LBN Legal business name Lange, Claudia Monica
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated May 17th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568685048 NPPES
New Mexico MEDICAID 03634078

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