JENNIFER MILDRED LONG (NPI# 1891221792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891221792 |
| Entity Type | Individual |
| Full Name | JENNIFER MILDRED LONG |
| Credential | MSW, LCSW |
| Practice Address |
3314 16th Ave Se Ste 205 Conover NC 28613-9694 |
| Mailing Address |
171 Bevis Ln Statesville NC 28677-9720 |
| Practice Telephone | 8667001606 |
| Practice Fax Number | 8663385921 |
| Mailing Telephone | 7049025512 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C010734 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1165 Mckee Farm Ln, Belmont, NC 280128671 | 7049288266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595178 | Jennifer Long | Acupuncturist | 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 | 2019-06-04 |
| 1265990501 | Jennifer Long | Chiropractor | 17280 Cherrywood Ct Unit 6002, Bonita Springs, FL 34135-8957 | 2019-03-06 |
| 1164979159 | Jennifer Long | Registered Nurse | 1400 Sylvan Cir, Rochester Hills, MI 48307-2967 | 2016-09-07 |
| 1982054565 | Jennifer Elizabeth Long | Occupational Therapist | 2090 State Route 27, Suite 105, Low Vision Center of Central New Jersey, North Brunswick, NJ 08902-3450 | 2016-06-15 |
| 1154794956 | Jennifer Long | Audiologist | Uwmc Center On Human Development and Disability, 1959 Ne Pacific St., Seattle, WA 98195 | 2015-11-03 |
| 1629395538 | Jennifer Long | Pharmacist | 446 W Main St, Monongahela, PA 15063-2552 | 2010-05-01 |
| 1831334952 | Jennifer Ann Long | Counselor | 1351 Frost Avenue, Senior Recovery Program, St. Paul, MN 55109 | 2008-12-03 |
| 1669657748 | Jennifer Lynn Long | Otolaryngology | 200 Medical Plaza Suite 550, Los Angeles, CA 90095-6975 | 2008-01-08 |
| 1790830065 | Jennifer Lynn Long | Physical Therapist | 7158 Schock Rd, Palms, MI 48465-9716 | 2007-01-24 |
| 1164515169 | Jennifer Allen Long | Nurse Practitioner | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2006-10-02 |
| Street Address |
3314 16TH AVE SE STE 205 |
| City | CONOVER |
| State | NC |
| Zip Code | 28613-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011153 | Katelyn Brooke Locklear | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2020-10-20 |
| 1043837248 | Brittney Chantell Harris | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2020-07-03 |
| 1093372674 | Kaysie Nichole Smith | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258671 | Samantha Lackey | Hearing Instrument Specialist | 1217-f Nc Highway 16, Conover, NC 28613 | 2020-09-03 |
| 1497313381 | Gjulshana Nurceski | Internal Medicine | 203 1st St East, Conover, NC 28613 | 2019-06-05 |
| 1487162384 | Anthony T Hines | Counselor | 6055 St. Peters Church Road, Conover, NC 28613 | 2018-01-14 |
| 1780195693 | Healthstat Onsite Clinic Hsm Conover | Preventive Medicine | 120 Section House Road, Conover, NC 28613 | 2017-10-18 |
| 1487055612 | Kave Nikbakht | Pharmacist | 201 Zelkova Ct., Wal-mart Pharmacy, Conover, NC 28613 | 2014-09-08 |
| 1326457003 | Michelle Lynn Kirby | Pharmacist | 126 1st Avenue South, Conover, NC 28613 | 2014-08-07 |
| 1255676904 | Norris Franklin Buff | Pharmacist | 498 6th Ave Ne, Conover, NC 28613 | 2012-12-06 |
| 1043560964 | Nicole Elizabeth Flinn | Pharmacist | 508 K 10th Street Nw, Conover, NC 28613 | 2012-09-18 |
| 1508115171 | Jannie Sue Phillips | Occupational Therapist | 2917 14th Ave Ne, Conover, NC 28613 | 2012-08-29 |
| 1861792707 | Susan Kochel Pearce | Physical Therapist | 2372 Eagle Drive, New Beginnings Pediatric Therapy, LLC, Conover, NC 28613 | 2010-10-26 |
| Find all providers in zip 28613 | ||||
| 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 |
|---|---|---|---|---|
| 1316262975 | Tynecca Gail Lynch | Social Worker | 109 Rock Barn Rd Ne, Conover, NC 28613-9727 | 2010-04-06 |
| 1952493207 | James Roswell Sherwood | Social Worker | 5545 Rush Road, Conover, WI 54519-9236 | 2006-09-28 |
| 1063011153 | Katelyn Brooke Locklear | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2020-10-20 |
| 1043837248 | Brittney Chantell Harris | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2020-07-03 |
| 1093372674 | Kaysie Nichole Smith | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 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.