KELLY LONG (NPI# 1447408133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447408133 |
| Entity Type | Individual |
| Full Name | KELLY LONG |
| Practice Address |
615 Shipyard Blvd Wilmington NC 28412 |
| Mailing Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Practice Telephone | 9103430145 |
| Practice Fax Number | 9102029966 |
| Mailing Telephone | 9103430145 |
| Mailing Fax Number | 9102029966 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
24346 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P012359 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7910 Us Highway 117 S, Suite 110, Rocky Point, NC 284579431 | 9102102030 | 9102102031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551894 | Kelly Denise Long | Physical Therapist | 6410 Diamond Rock Dr, Katy, TX 77449-4241 | 2019-11-04 |
| 1316319148 | Kelly Long | Occupational Therapist | 1906 Kenwood Ave, Charlotte, NC 28205-3646 | 2015-10-20 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1720649676 | Kelly Long | Licensed Vocational Nurse | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-06-21 |
| 1366949539 | Kelly Mckinley Long | Student in an Organized Health Care Education/Training Program | 477 Cooper Rd Ste 300, Westerville, OH 43081-8057 | 2018-04-12 |
| 1447551817 | Kelly Patricia Long | Nurse Practitioner | 900 E 13th St, Suite 101, Grove, OK 74344-2975 | 2010-11-16 |
| 1871808303 | Kelly A Long | Nurse Practitioner | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2010-08-09 |
| 1568623338 | Kelly Lynn Long | Physician Assistant | 10909 Hannan Rd, Romulus, MI 48174-1383 | 2008-06-24 |
| 1457564726 | Kelly Long | Counselor | 15303 St. Rt 170, East Liverpool, OH 43920-9216 | 2007-05-07 |
| 1457438905 | Kelly Ann Long | Audiologist | 15 Exchange Dr, Lugoff, SC 29078-9198 | 2006-11-01 |
| Street Address |
615 SHIPYARD BLVD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254438 | Elizabeth A Deaton | Family Medicine | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2005-06-08 |
| 1447850458 | Heather Black | Nurse Practitioner | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-28 |
| 1346847860 | Hayley Mitchell | Physician Assistant | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-07 |
| 1013514215 | Danielle Margaret Robbins | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-10-01 |
| 1972118909 | Brittany Cole Mckeon | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-15 |
| 1376157230 | Jayce Noelle Inscoe | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-08 |
| 1780298786 | Elizabeth Marie Barber | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-09-07 |
| 1942811849 | Brianna Little Wells | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-13 |
| 1679184626 | Logan Shontez Ellison | Counselor | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-13 |
| 1538770649 | Cameron Staley | Social Worker | 615 Shipyard Blvd, Wilmington, NC 28412-6431 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891357166 | Alexandra Palamaru | Dentist | 2759, 6132 Carolina Beach Rd., 6, Wilmington, NC 28412 | 2019-07-08 |
| 1447640115 | Carrie Anne Emory | Physician Assistant | 1124 Gallery Park Blvd, #200, Wilmington, NC 28412 | 2015-02-02 |
| 1144639295 | Christina Marie Terry | Physical Therapist | 7842 Champlain Dr, Wilmington, NC 28412 | 2014-08-03 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1538440672 | Celine Adair | Marriage & Family Therapist | 9809 River Rd, Wilmington, NC 28412 | 2011-09-02 |
| 1033412267 | American Anesthesiology of North Carolina, Pllc | Anesthesiology | 2520 Independence Blvd, Suite 200, Wilmington, NC 28412 | 2010-12-09 |
| 1932418357 | Dale Autry | Pharmacist | 3625 South College Road, Wilmington, NC 28412 | 2010-10-04 |
| 1528390762 | Sheila Flynn | Counselor | 710 St. Andrews Dr. #18, Wilmington, NC 28412 | 2010-02-12 |
| 1952563686 | Stephen Rolfe Wells | Anesthesiology | 2520 Independence Boulevard, Suite 200, Wilmington, NC 28412 | 2008-06-25 |
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| Find all providers in zip 28412 | ||||
| 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 |
|---|---|---|---|---|
| 1821602608 | Bhs Counseling, Pllc | Social Worker | 446 Motts Creek Rd, Wilmington, NC 28412-7854 | 2020-08-31 |
| 1659985406 | Kelsey Metz | Social Worker | 2023 S 17th St Unit 1a, Wilmington, NC 28401-6600 | 2020-08-31 |
| 1265044424 | Katelyn Elizabeth Currie | Social Worker | 3401 Wilshire Blvd Apt 103, Wilmington, NC 28403-4261 | 2020-08-19 |
| 1114539467 | Personal Insight Therapy, LLC | Social Worker | 226 Lowell St Ste B7, Wilmington, MA 01887-3073 | 2020-08-18 |
| 1336751726 | Ikia Williams | Social Worker | 4415 Junction Park Dr, Wilmington, NC 28412-2263 | 2020-08-18 |
| 1356961627 | Jacqueline Sabella | Social Worker | 1608 Queen St, Wilmington, NC 28401-5527 | 2020-04-16 |
| 1649808528 | Jessie Therese Redden | Social Worker | 5235 W Woodmill Dr Ste 47, Wilmington, DE 19808-4068 | 2020-03-27 |
| 1659907830 | Danielle M Lopez | Social Worker | 2700 Silverside Rd Ste 4, Wilmington, DE 19810-3724 | 2020-03-19 |
| 1942836267 | Christiana Care Health Initiatives | Social Worker | 4000 Nexus Dr Rm Nwg -250, Wilmington, DE 19803-3000 | 2020-03-18 |
| 1952936049 | Taylor Danielle Quick-smith | Social Worker | 1002 Talcon Dr, Wilmington, DE 19804-1200 | 2020-03-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28412 |
Please comment or provide details below to improve the information on KELLY LONG.
| 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.