TODD LONG (NPI# 1205201894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205201894 |
| Entity Type | Individual |
| Full Name | TODD LONG |
| Practice Address |
1108 N Wheeler Ave Sallisaw OK 74955-2227 |
| Mailing Address |
Rr 4 Box 1370 Sallisaw OK 74955-9651 |
| Practice Telephone | 9187755513 |
| Mailing Telephone | 9183153601 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003916859 | Todd J Long | Ophthalmology | 620 Berkmar Cir, Charlottesville, VA 22901-1464 | 2006-09-22 |
| 1528452042 | Todd Alexander Long | Psychologist | 7272 Wurzbach Rd, Suite 601, San Antonio, TX 78240-4801 | 2015-03-23 |
| Street Address |
1108 N WHEELER AVE |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568650463 | Candace Rae Jeffries Nichols | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2007-10-05 |
| 1033688486 | Jacqueline Taylor Richardson Padua | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2018-11-15 |
| 1477055234 | Brenda Belledean Taylor | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2018-03-07 |
| 1609389733 | Kyle Wilhite | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-11-11 |
| 1619496932 | Caroline Nicole Barker | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-09-18 |
| 1962929893 | Amanda Barnes | Case Manager/Care Coordinator | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-22 |
| 1679098917 | Ava Lee Poindexter | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-08 |
| 1093230203 | Taylor Howell | Peer Specialist | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-08 |
| 1891210472 | Holli Deanna Reherman | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2017-08-04 |
| 1811446099 | Dena Pace | Counselor | 1108 N Wheeler Ave, Sallisaw, OK 74955-2227 | 2016-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| 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 |
|---|---|---|---|---|
| 1912215369 | Susan L Wickett | Social Worker | 313 Robin Ln, Sallisaw, OK 74955-3028 | 2010-09-20 |
| 1083774129 | Violet M Kribbs | Social Worker | 603 W Creek Ave, Sallisaw, OK 74955-4237 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041147 | Coley Fipps | Social Worker | 3308 Grant Rd, Norman, OK 73071-2905 | 2020-10-22 |
| 1275154304 | Holly F Nguyen Therapy LLC | Social Worker | 1901 N Moore Ave Ste 15, Moore, OK 73160-3612 | 2020-04-29 |
| 1578191961 | Bonnie Sue Harman | Social Worker | 3 Nw Bent Tree Cir, Lawton, OK 73505-9532 | 2020-03-31 |
| 1700411170 | Braden Bowles | Social Worker | 1841 Exchange Ave, Oklahoma City, OK 73108-3022 | 2020-03-06 |
| 1114551900 | Carpenter Lcsw Pllc | Social Worker | 1212 S Air Depot Blvd Ste 19a, Midwest City, OK 73110-4873 | 2020-03-02 |
| 1619501061 | Terry Snow | Social Worker | 600 Sw 134th St, Oklahoma City, OK 73170-7307 | 2020-02-25 |
| 1104459395 | Mary Madonna LLC | Social Worker | 5808 Nw 109th St, Oklahoma City, OK 73162-5836 | 2020-02-17 |
| 1376182337 | Tina Francis Counseling, LLC | Social Worker | 4870 S Lewis Ave Ste 125, Tulsa, OK 74105-5141 | 2019-12-22 |
| 1295373777 | Heartland Resolution Therapy, LLC | Social Worker | 4821 S Sheridan Rd Ste 217, Tulsa, OK 74145-5716 | 2019-12-16 |
| 1356989883 | Neil Anthony Weathers | Social Worker | 700 S Telephone Rd Ste 301, Moore, OK 73160-2547 | 2019-12-16 |
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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.