AMANDA BALES LONG (NPI# 1760976633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760976633 |
| Entity Type | Individual |
| Full Name | AMANDA BALES LONG |
| Credential | LCSW |
| Practice Address |
1800 Michael Faraday Dr Ste 206 Reston VA 20190-5312 |
| Mailing Address |
3483 Lyon Park Ct Woodbridge VA 22192-1022 |
| Practice Telephone | 7039350058 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904010519 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5999 Stevenson Ave Ste 405, Alexandria, VA 223043302 | 7039350058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1417444753 | Amanda Brendle Long | Nurse Practitioner | 857 Aster Ln, Morganton, GA 30560-3256 | 2018-04-20 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| 1457792889 | Amanda Weaver Long | Speech-Language Pathologist | 1780 Sunflower Cir, Tupelo, MS 38801-8193 | 2013-07-15 |
| 1326658188 | Amanda K Long | Behavior Technician | 11 Moose Run, Barrington, NH 03825-5915 | 2020-08-06 |
| 1639787542 | Amanda Long | Counselor | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-07-16 |
| 1437785581 | Amanda Long | Case Manager/Care Coordinator | 515 Dayton St, Hamilton, OH 45011-3455 | 2020-03-20 |
| 1295376945 | Amanda Kate Long | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-10-03 |
| 1467948661 | Amanda Long | Community/Behavioral Health | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2018-07-11 |
| 1376049981 | Amanda Corey Long | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2018-04-03 |
| Street Address |
1800 MICHAEL FARADAY DR STE 206 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043362197 | Charles Ernest Burt | Psychologist | 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 | 2007-01-17 |
| 1518007640 | Charles E. Burt, Ph.d. and Associates, P.C. | Psychologist | 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| 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 |
|---|---|---|---|---|
| 1700409075 | Alicea Ardito | Social Worker | 11611 Hunters Green Ct, Reston, VA 20191-3505 | 2020-05-21 |
| 1841822541 | Shayna Sargent | Social Worker | 1783 Jonathan Way Unit J, Reston, VA 20190-3515 | 2020-02-10 |
| 1912321647 | Catherine Cairo Patrick | Social Worker | 11594 Lake Newport Rd, Reston, VA 20194-1210 | 2014-02-17 |
| 1265770283 | Arlene Butler | Social Worker | 11910 Sloane Ct, Reston, VA 20191-2726 | 2013-01-25 |
| 1053615328 | Joshua Metz | Social Worker | 1108 Round Pebble Ln, Reston, VA 20194-1002 | 2010-12-30 |
| 1316142433 | Gabriela Marquez Canale | Social Worker | 11336 Orchard Ln, Reston, VA 20190-4430 | 2007-06-19 |
| 1457560542 | Elaine Marie Shaver | Social Worker | 11333 Sunset Hils Rd, Reston, VA 20190-5205 | 2007-05-22 |
| 1780890582 | Robert David Caldwell Iv | Social Worker | 1984 Isaac Newton Sq W Ste 204, Reston, VA 20190-5040 | 2007-05-16 |
| 1942412960 | Susan Holyoke Johnston | Social Worker | 11428 Waterview Cluster, Reston, VA 20190-4313 | 2007-05-03 |
| 1811016835 | Cynthia L Lowenthal | Social Worker | 11363 Sunset Hills Road, Reston, VA 20190-5205 | 2007-03-29 |
| Find all providers in RESTON | ||||
Please comment or provide details below to improve the information on AMANDA BALES 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.