Provider Demographics
NPI:1528101714
Name:LANG, GAIL ARNOLD (CSW LCSW-R MSW)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:ARNOLD
Last Name:LANG
Suffix:
Gender:F
Credentials:CSW LCSW-R MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BURWELL AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2619
Mailing Address - Country:US
Mailing Address - Phone:716-681-1680
Mailing Address - Fax:
Practice Address - Street 1:43 FERNWOOD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-4458
Practice Address - Country:US
Practice Address - Phone:716-983-1680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0302561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical