MEDICARE: MICHELLE LANGLEY LCSW

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	004873	MO

General Provider Information

NPI Number	:	1073486577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LANGLEY LCSW

Provider Business Mailing Address
First Line	:	241 W MONROE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-5817
Country	:	US
Telephone Number	:	314-803-6063
Fax Number	:

Provider Business Practice Location Address
First Line	:	241 W MONROE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-5817
Country	:	US
Telephone Number	:	314-803-6063
Fax Number	:

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

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	11/25/2025

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Directions to “ MICHELLE LANGLEY LCSW” Practice Location

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