| Doctor Name: | MRS. JENIFFER LYNN LANG |
| NPI Number: | 1003109083 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | |
| Business Practice Address: | 2530 Virginia St Ne Ste 400 Albuquerque, NM - 871104659 |
| Business Phone Number: | 5052916314 |
| Business Fax Number: | |
| Mailing Address: | 617 Meadow Green Ct Se, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871234120 |
| Phone Number: | 6102485868 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2011 |
| NPI Last Update Date: | 08/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |