GARY W LONG JR. (NPI# 1144747213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144747213 |
| Entity Type | Individual |
| Full Name | GARY W LONG JR. |
| Credential | LCSW-C |
| Practice Address |
922 National Hwy Lavale MD 21502-7325 |
| Practice Telephone | (240) 362-7294 |
| Practice Fax Number | 2403627357 |
| Mailing Telephone | 2403627294 |
| Mailing Fax Number | 2403627357 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
20551 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BOARD OF SOCIAL WORK-LICENSE VERIFICATION INFORMATION | 20551 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061709 | Gary A. Long | Occupational Therapy Assistant | 3920 Hilltop Drive, Parma, OH 44134 | 2016-05-23 |
| 1861043911 | Gary Long | Behavioral Analyst | 150 W University Blvd, Melbourne, FL 32901-6982 | 2019-09-20 |
| 1417176348 | Gary William Long | Dentist | 1600 S 4th Ave, Ste 110, Morton, IL 61550-2889 | 2007-04-25 |
| 1861477887 | Gary Winn Long | Anesthesiology | 1600 7th Ave S, Suite 420 Acc, Birmingham, AL 35233-1711 | 2005-12-13 |
| 1437130341 | Gary Long | Physician Assistant | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-11-08 |
| Street Address |
922 NATIONAL HWY |
| City | LAVALE |
| State | MD |
| Zip Code | 21502-7325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060928 | Anthony Joseph Bollino Jr. | Family Medicine | 922 National Hwy, Lavale, MD 21502-7325 | 2005-08-15 |
| 1114572104 | Hollie Green | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502-7325 | 2019-08-06 |
| 1922556612 | Tiffany L Bennett | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502-7325 | 2016-09-12 |
| 1861865750 | Meghan L Clayton | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502 | 2015-11-02 |
| 1578950150 | Chapman and Associates Health Care, LLC | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502-7325 | 2015-04-21 |
| 1215363080 | Greta J Cain | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502-7325 | 2013-09-24 |
| 1124462098 | April Ann Cross | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502-7325 | 2013-04-23 |
| 1447504659 | Chapman and Associates Health Care, LLC | Nurse Practitioner | 922 National Hwy, Lavale, MD 21502-7325 | 2012-11-09 |
| 1922394584 | Geraldine A Fox | Social Worker | 922 National Hwy, Lavale, MD 21502-7325 | 2011-06-22 |
| 1598075293 | Anthony J Bollino,jr., M.d., Pa | Family Medicine | 922 National Hwy, Lavale, MD 21502-7325 | 2010-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245701226 | Jodi Elise Ellsworth | Social Worker | 2 Ellsworth Dr, Lavale, MD 21502-4757 | 2018-12-17 |
| 1689995680 | Wendy Angelina Mckenzie | Social Worker | 4 Emily Beth Dr, Lavale, MD 21502-7130 | 2010-06-14 |
| 1922394584 | Geraldine A Fox | Social Worker | 922 National Hwy, Lavale, MD 21502-7325 | 2011-06-22 |
| 1477720670 | Sylvia Vaught | Social Worker | 957 National Hwy, Lavale, MD 21502-7356 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1669073201 | Deborah Lynn Dey | Social Worker | 810 Bestgate Rd Ste 400, Annapolis, MD 21401-3033 | 2020-11-02 |
| 1265032908 | Ayana S Manzanares | Social Worker | 2507 Holman Ave, Silver Spring, MD 20910-1143 | 2020-10-30 |
| 1669072633 | Petals Behavioral LLC | Social Worker | 12623 Epping Rd, Silver Spring, MD 20906-3865 | 2020-10-29 |
| 1972103752 | Tasha Williams | Social Worker | 3025 Woodring Ave, Parkville, MD 21234-7828 | 2020-10-29 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1841890043 | Juliet Renee Wilson | Social Worker | 1811 Chapel Rd, Havre De Grace, MD 21078-1809 | 2020-10-27 |
| 1457951618 | Betsy Reinstein Dewey | Social Worker | 4618 Derussey Pkwy, Chevy Chase, MD 20815-5332 | 2020-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.