MEDICARE: ANNALIESE CORACE-LANGBEEN LMSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801120130	MI

General Provider Information

NPI Number	:	1164303756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNALIESE CORACE-LANGBEEN LMSW-C

Provider Business Mailing Address
First Line	:	31560 SCHOOLCRAFT RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1805
Country	:	US
Telephone Number	:	586-242-2924
Fax Number	:

Provider Business Practice Location Address
First Line	:	31560 SCHOOLCRAFT RD
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48150-1805
Country	:	US
Telephone Number	:	586-242-2924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	04/12/2026

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Directions to “ ANNALIESE CORACE-LANGBEEN LMSW-C” Practice Location

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