LISA LONG (NPI# 1154780864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154780864 |
| Entity Type | Individual |
| Full Name | LISA LONG |
| Practice Address |
502 Farrell Dr Covington KY 41011-3717 |
| Mailing Address |
1792 Forest Run Dr Independence KY 41051-8177 |
| Practice Telephone | 8594667141 |
| Mailing Telephone | 8594667141 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073808507 | Lisa Long | Psychologist | 1524 Duckworth Ave, Charlotte, NC 28208-4315 | 2011-06-13 |
| 1730331828 | Lisa Sheri Long | Speech-Language Pathologist | 5 Settlers Rdg S, Malta, NY 12020-3755 | 2008-10-21 |
| 1801072020 | Lisa Lavonn Long | Clinical Nurse Specialist | 2800 Campus Dr, Suite 30, Plymouth, MN 55441-2645 | 2008-01-17 |
| 1104818731 | Lisa R Long | Chiropractor | 307 E Karsch Blvd, Farmington, MO 63640-1203 | 2005-08-19 |
| 1376015321 | Lisa Marie Long | Occupational Therapy Assistant | 725 Columbus Ave, Fostoria, OH 44830-3255 | 2018-12-31 |
| 1356831572 | Lisa Long | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2018-05-14 |
| 1033639380 | Lisa Monique Long | Technician, Other | 1702 N Collins Blvd Ste 250, Richardson, TX 75080-3655 | 2017-06-27 |
| 1174052740 | Lisa C Long | Case Management | 6480 N Star Ln, Paso Robles, CA 93446-7639 | 2017-06-07 |
| 1609323641 | Lisa Long | Pharmacist | 790 Church St Ne, Suite 335, Marietta, GA 30060-7282 | 2016-09-07 |
| 1821401043 | Lisa Michelle Long | Registered Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2014-06-05 |
| Street Address |
502 FARRELL DR |
| City | COVINGTON |
| State | KY |
| Zip Code | 41011-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578527610 | Northern Kentucky Mental Health Mental Retardation Regional Board | Psychiatry & Neurology | 502 Farrell Dr, Covington, KY 41011-3717 | 2006-04-14 |
| 1720687239 | Sharon Doering | Art Therapist | 502 Farrell Dr, Covington, KY 41011-3717 | 2020-10-26 |
| 1114414349 | Aris Kuntz | Social Worker | 502 Farrell Dr, Covington, KY 41011-3717 | 2018-04-13 |
| 1992204465 | Jacqueline Fleming | Counselor | 502 Farrell Dr, Covington, KY 41011-3717 | 2018-02-09 |
| 1518483577 | Maria Koch | Counselor | 502 Farrell Dr, Covington, KY 41011-3717 | 2017-08-21 |
| 1477074862 | Santosh Adhikary | Counselor | 502 Farrell Dr, Covington, KY 41011-3717 | 2017-07-06 |
| 1811437031 | Heidi Bohman | Counselor | 502 Farrell Dr, Covington, KY 41011-3717 | 2017-03-07 |
| 1861938011 | Elaine Baird | Case Manager/Care Coordinator | 502 Farrell Dr, Covington, KY 41011-3717 | 2017-01-12 |
| 1932553518 | Jessica Byers | Counselor | 502 Farrell Dr, Covington, KY 41011-3717 | 2016-04-20 |
| 1255792503 | Jennifer Couch | Counselor | 502 Farrell Dr, Covington, KY 41011-3717 | 2016-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1730623091 | Sarah S. Laube | Dietitian, Registered | 1500 James Simpson Jr. Way, Ste 301, St. Elizabeth Physicians Regional Diabetes Center, Covington, KY 41011 | 2016-12-06 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1629417183 | Mortenson Family Dental Center- Ft Wright Pllc | Dentist | 1983 Dixie Hwy, Ft Mitchell, KY 41011 | 2013-06-18 |
| 1609150325 | Amanda Banks Galer | Social Worker | 1717 Dixie Hwy Ste 409, Ft Wright, KY 41011 | 2011-09-29 |
| 1750510004 | Marilyn Ruth Baker | Speech-Language Pathologist | 425 Garrad Street, Covington, KY 41011 | 2009-07-08 |
| 1093952327 | Douglas H Rank Md Psc | Psychiatry & Neurology | 12 West Pike St, Covington, KY 41011 | 2009-01-08 |
| 1376796722 | Bernice Raeann Calhoun | Counselor | 1955 Dixie Hwy Ste D, Ft Wright, KY 41011 | 2008-10-29 |
| 1609052265 | Marilyn Woods | Social Worker | 722 Scott Street, 3rd Floor, Covington, KY 41011 | 2008-01-14 |
| 1801089933 | Craig Louis Walsh | Dentist | 1846 Beacon Hill Ave, Fort Wright, KY 41011 | 2007-08-22 |
| Find all providers in zip 41011 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911190 | Arianne Riley | Case Manager/Care Coordinator | 418 W 9th St, Covington, KY 41011-2145 | 2020-08-03 |
| 1013557263 | Deneacer Massop | Case Manager/Care Coordinator | 80 Brandon Dr, Covington, GA 30016-3333 | 2020-01-15 |
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1063067858 | Kevin Orlando Banegas | Case Manager/Care Coordinator | 1729 Orchard Dr, Covington, LA 70435-6041 | 2019-08-08 |
| 1417466400 | Kenneth Micheal Townsend | Case Manager/Care Coordinator | 19295 N 3rd St Ste 2, Covington, LA 70433-8897 | 2017-09-22 |
| 1326574781 | Erica C Delaune | Case Manager/Care Coordinator | 75153 Crestview Hills Loop, Covington, LA 70435-5678 | 2017-05-04 |
| 1700282035 | Danielle Darby | Case Manager/Care Coordinator | 3236 Highway 278, Covington, GA 30014-2402 | 2014-11-13 |
| 1467890582 | Ann Muehlenkamp Knochelmann | Case Manager/Care Coordinator | 604 Brandtly Ridge Dr, Covington, KY 41015-4230 | 2013-06-11 |
| 1194095216 | Ayme Mogle Meehan | Case Manager/Care Coordinator | 46 Begonia Dr, Covington, LA 70433-9102 | 2012-01-05 |
| 1881862159 | Ardena Johnson | Case Manager/Care Coordinator | 60 Lightwood Dr, Covington, GA 30016 | 2008-02-20 |
| Find all providers in COVINGTON | ||||
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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.