Healthcare Provider Details

I. General information

NPI: 1932034873
Provider Name (Legal Business Name): KATHERINE LANGE-ROBERSON LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 ORANGE RD APT 87
MONTCLAIR NJ
07042-2155
US

IV. Provider business mailing address

77 ORANGE RD APT 87
MONTCLAIR NJ
07042-2155
US

V. Phone/Fax

Practice location:
  • Phone: 917-656-9617
  • Fax:
Mailing address:
  • Phone: 917-656-9617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number086547
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07462300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: