KRISTIN KATHLEEN LONG (NPI# 1407414600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407414600 |
| Entity Type | Individual |
| Full Name | KRISTIN KATHLEEN LONG |
| Credential | LMSW |
| Practice Address |
One Choctaw Way Behavioral Health Talihina OK 74571 |
| Mailing Address |
1 Choctaw Way Behavioral Health Talihina OK 74571 |
| Practice Telephone | 9185673065 |
| Practice Fax Number | 9185673917 |
| Mailing Telephone | 9185673065 |
| Mailing Fax Number | 9185673917 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6809 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336520303 | Kristin Long | Rehabilitation Practitioner | 651 Garfield Ave Nw, Grand Rapids, MI 49504-5063 | 2015-06-15 |
| 1639781537 | Kristin Marie Long | Pharmacist | 315 W Butler Rd, Mauldin, SC 29662-2531 | 2020-08-20 |
| 1508380932 | Kristin Ann Long | Psychologist | 124 Harvard St, Brookline, MA 02446-6478 | 2017-07-27 |
| 1578809216 | Kristin Heather Long | Counselor | 2806 Horseshoe Dr S, Naples, FL 34104-6125 | 2012-12-28 |
| 1225262033 | Kristin Leigh Long | Surgery | 600 Highland Ave, Madison, WI 53792-0001 | 2009-05-07 |
| 1487865226 | Kristin Mary Long | Marriage & Family Therapist | 1035 San Pablo Ave Ste 8, Albany, CA 94706-2277 | 2007-05-24 |
| 1306970272 | Kristin Long | Counselor | 80 E 11th St, 301c, New York, NY 10003-6811 | 2007-03-15 |
| Street Address |
ONE CHOCTAW WAY BEHAVIORAL HEALTH |
| City | TALIHINA |
| State | OK |
| Zip Code | 74571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841263175 | Thomas B. Hagelberger | Physician Assistant | One Choctaw Way, Choctaw Nation Health Care Center, Talihina, OK 74571-0000 | 2006-02-08 |
| 1194179457 | Cedana Carroll Lanig | Nurse Practitioner | One Choctaw Way, Talihina, OK 74571 | 2016-04-22 |
| 1619242260 | Sara Elizabeth Shedd | Pharmacist | One Choctaw Way, Talihina, OK 74571 | 2012-03-15 |
| 1619027802 | Matthew David Olson | Pharmacist | One Choctaw Way, Talihina, OK 74571 | 2007-01-11 |
| 1578613832 | Courtney Michelle Suggs | Pharmacist | One Choctaw Way, Talihina, OK 74591 | 2007-01-11 |
| 1528161478 | Donald Lee Branham | Pharmacist | One Choctaw Way, Choctaw Nation Health Center, Talihina, OK 74571 | 2006-09-06 |
| 1811931512 | Imad Alwan | Internal Medicine | One Choctaw Way, Talihina, OK 74571 | 2006-06-15 |
| 1013975523 | Shiela Dianne Riley | Nurse Practitioner | One Choctaw Way, Talihina, OK 74571 | 2006-05-03 |
| 1407825847 | Sarah Ann Owers | Nurse Anesthetist, Certified Registered | One Choctaw Way, Talihina, OK 74571 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033914 | Megan Ann Louise Hall | Peer Specialist | 908 Dallas Street, Talihina, OK 74571 | 2019-03-22 |
| 1447736764 | Harper Ranch & Enterprises LLC | Nurse Practitioner | 308 Second St., Talihina, OK 74571 | 2018-07-19 |
| 1588161004 | Bailee Marie Mcconnell | Peer Specialist | 14476 Se 2022nd Rd, Talhina, OK 74571 | 2018-04-11 |
| 1932644002 | Laura Ashley Sanford | Family Medicine | 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 | 2016-12-28 |
| 1003362583 | Tammy Serena Adams | Behavioral Analyst | 903 Dallas Street, Talihina, OK 74571 | 2016-08-25 |
| 1356735963 | Millennium Community | Case Management | 308 Veterans Street, Talihina, OK 74571 | 2015-03-20 |
| 1225449176 | Millenium | Case Management | 308 Veterans Ave, Talihina, OK 74571 | 2014-05-14 |
| 1366881013 | Tisha J Fitzgerald | Counselor | 508 Veterans, Talihina, OK 74571 | 2013-06-17 |
| 1295075406 | Millennium Community Service | Community/Behavioral Health | 53565 Williams Ave., Talihina, OK 74571 | 2013-02-25 |
| 1649548413 | Kimberly Stegall | Counselor | 501 Veterans Street, V, Talihina, OK 74571 | 2011-12-08 |
| Find all providers in zip 74571 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847472 | Jill Saranga | Social Worker | 8024 Blackbird Ln, Edmond, OK 73034-9029 | 2020-10-01 |
| 1831705854 | Mercedes Noel Simpson | Social Worker | 5796 W 1st St, Tulsa, OK 74127-5724 | 2020-09-16 |
| 1013521368 | Julie Christina Johnston | Social Worker | 514 Sandpiper Ln, Norman, OK 73071-6152 | 2020-09-03 |
| 1598379927 | Paige M Frye | Social Worker | 347606 E 800 Rd, Cushing, OK 74023-5382 | 2020-09-02 |
| 1285242735 | Marna Jane Gonzalez Schmenk | Social Worker | 631 N Brown St, Sapulpa, OK 74066-3229 | 2020-07-21 |
| 1316555345 | Margaret Z Shelton | Social Worker | 418 S 72nd East Ave, Tulsa, OK 74112-1918 | 2020-07-15 |
| 1255958955 | Samantha Toops | Social Worker | 1638 S Carson Ave Apt 718, Tulsa, OK 74119-4238 | 2020-06-29 |
| 1003439100 | Carolyn Y Thomas | Social Worker | 2317 W Gary St, Broken Arrow, OK 74012-7436 | 2020-05-22 |
| 1548881436 | Landyce Xavia Smith | Social Worker | 2212 Westpark Dr, Norman, OK 73069-4097 | 2020-05-01 |
| 1427678499 | Kelly Renee Merrick | Social Worker | 7817 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
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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.