Provider Demographics
NPI:1730936923
Name:LANGIN, CAROLINE JOANNA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:JOANNA
Last Name:LANGIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 TAMARACK DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46835-3443
Mailing Address - Country:US
Mailing Address - Phone:260-908-3906
Mailing Address - Fax:
Practice Address - Street 1:4211 TAMARACK DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46835-3443
Practice Address - Country:US
Practice Address - Phone:260-908-3906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34010083A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical