Provider Demographics
NPI:1932994308
Name:LENGEL, KATIE (LCSWA)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:LENGEL
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 MANOR VILLAGE WAY APT 303
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3799
Mailing Address - Country:US
Mailing Address - Phone:484-667-9381
Mailing Address - Fax:
Practice Address - Street 1:1000 DARRINGTON DR STE 204
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8134
Practice Address - Country:US
Practice Address - Phone:919-338-5620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0208791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical