Individual
MR. RICHARD THEODORE LANGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00241100
NJ
1041C0700X
Clinical Social Worker
44SC05250800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00166363300
INDEPENDENCE BC BC
NJ
01
—
2321500000
AMERIHEALTH PPO
NJ
01
—
7119413
AETNA BEHAVIORAL HEALTH
NJ
Enumeration date
03/20/2007
Last updated
09/11/2025
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