Healthcare Provider Details

I. General information

NPI: 1952769077
Provider Name (Legal Business Name): JANAY ERIN LANGFORD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN JANAY LANGFORD

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 S 400 W STE 305
ST GEORGE UT
84770-4177
US

IV. Provider business mailing address

35 S 400 W STE 305
ST GEORGE UT
84770-4177
US

V. Phone/Fax

Practice location:
  • Phone: 801-413-3916
  • Fax:
Mailing address:
  • Phone: 801-413-3916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number113788993501
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: