Healthcare Provider Details

I. General information

NPI: 1861065583
Provider Name (Legal Business Name): ELISHEVA LANGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2508 SUMMERSON RD
BALTIMORE MD
21209-2516
US

IV. Provider business mailing address

2508 SUMMERSON RD
BALTIMORE MD
21209-2516
US

V. Phone/Fax

Practice location:
  • Phone: 443-801-6583
  • Fax:
Mailing address:
  • Phone: 443-801-6583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: