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KELLY ANN KING LANGE LCSW
NPI 1548907892
Social Worker - Clinical in Richmond, VA

Active since May 18, 2022
1503 SANTA ROSA RD RM 105, RICHMOND, VA 23229(954) 465-7494 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Ann King Lange Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN KING LANGE LCSW (NPI 1548907892) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904013959) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1548907892
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANN KING LANGECredential: LCSW
Location Address1503 SANTA ROSA RD RM 105Richmond, VA 23229-5105
Mailing Address3128 Parkwood AveRichmond, VA 23221-3537 · (954) 465-7494
Phone(954) 465-7494
Sole ProprietorYes
Enumeration DateMay 18, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1548907892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904013959
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1503 SANTA ROSA RD RM 105, Richmond, VA 23229
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Other Identifiers 1

Other1043348741VA · 02-organization

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WHITNEY H MASCARO PH.D.
Psychologist (Counseling)
1503 SANTA ROSA RD RM 105
RICHMOND, VA 23229
Henrico County (804) 386-8217
CAROLINE AGEE LSP
Psychologist (School)
1503 SANTA ROSA RD RM 105
RICHMOND, VA 23229
Henrico County (804) 673-0100
DR. TREVINA RENEE ANDERSON PSYD
Psychologist (Clinical)
1503 SANTA ROSA RD RM 105
RICHMOND, VA 23229
Henrico County (804) 673-0100
HAYDEN RAY
Counselor (Professional)
1503 SANTA ROSA RD RM 105
RICHMOND, VA 23229
Henrico County (804) 673-0100
DR. CLAIRE MCCOWN PHD, LCP, MPS
Psychologist (Clinical)
1503 SANTA ROSA RD RM 105
RICHMOND, VA 23229
Henrico County (804) 673-0100
FRED DAVID BRECKENRIDGE LPC
Counselor (Professional)
1503 SANTA ROSA RD RM 105
RICHMOND, VA 23229
Henrico County (804) 673-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Lange's NPI number?

The NPI number for Kelly Lange is 1548907892. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Kelly Lange located?

Kelly Lange practices at 1503 Santa Rosa Rd Rm 105, Richmond, VA 23229. The listed phone number is (954) 465-7494.

What is Kelly Lange's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Lange was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.