Individual
MR. RICHARD THEODORE LANGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
108 SOMERDALE RD, VOORHEES, NJ 08043-1901
(856) 428-5688
(856) 795-4094
Mailing address
300 KAUFFMAN ST, PHILADELPHIA, PA 19147-3210
(215) 463-1829
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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