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General NPI Number Information
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NPI Number | 1215794656
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Entity Type | Individual
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Provider Name | BENJAMIN LANG MSW, LCSW / LISW
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Gender | Male
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 233 E REDWOOD ST STE 901F
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City | BALTIMORE
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State | MD
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Zip | 21202-3788
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Country | US
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Telephone | 667-217-2455
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Fax |
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Provider Business Mailing Address
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Address Line | 233 E REDWOOD ST STE 901F
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City | BALTIMORE
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State | MD
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Zip | 21202-3788
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2304887
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 32072
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.024895
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License Number State | IL
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