DR. JACK MARTIN LONG


Address: 720c Maiden Choice Ln, Catonsville, MD 21228-5940
Phone: 4107445499

DR. JACK MARTIN LONG (NPI# 1447296629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447296629
Entity Type Individual
Full Name DR. JACK MARTIN LONG
Credential PH.D.
Practice Address 720c Maiden Choice Ln
Catonsville
MD 21228-5940
Mailing Address 720 Maiden Choice Ln
Suite C
Catonsville
MD 21228-5940
Practice Telephone 4107445499
Practice Fax Number 4104550894
Mailing Telephone 4107445499
Mailing Fax Number 4104550894
Enumeration Date 2006-06-22
Last Update Date 2011-12-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
03068 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD BLUE CHOICE R7610001 01
MD 755011100 05
MD BC/BS FEDERAL R7610001 01
MD BLUE CROSS/ BLUE SHIELD Q292JM 01
MD MAMSI 276629 01

Other Providers JACK LONG

NPI Name Taxonomy Address Enumeration
1184792129 Jack A Long Chiropractor 2893 E Green Canyon Dr, Meridian, ID 83642-9105 2006-11-30
1366480949 Jack E Long Internal Medicine 100 E 33rd St Ste 100, Vancouver, WA 98663-2776 2006-06-03
1861918534 Jack Long Physical Therapist 425 Waverley Oaks Rd, Waltham, MA 02452-8448 2017-08-15
1376534917 Jack Calhoun Long Specialist 1900 Scenic Dr, Suite 3318, Georgetown, TX 78626-7724 2005-11-02

Office Location

Street Address 720C MAIDEN CHOICE LN
City CATONSVILLE
State MD
Zip Code 21228-5940

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1760020416 Bh Brightview Rolling Hills Opco, LLC Alzheimer Center (Dementia Center) 848 South Rolling Road, Catonsville, MD 21228 2019-12-12
1912542812 Tiana Green Counselor 606 Edmondson Ave., Catonsville, MD 21228 2019-11-14
1699324806 Maryland Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4701 Wilkens Ave, Catonsville, MD 21228 2019-09-10
1528613460 Hyung Joon Kim Dds PC Dentist 516 N. Rolling Rd, #201, Catonsville, MD 21228 2019-08-07
1982109658 William Jones Counselor 29 Tentmill Lane, Pikesville, MD 21228 2018-03-26
1740783752 Jean Walter Infusion Center, LLC Clinic/Center 700 Geipe Road St. 100, Catonsville, MD 21228 2018-03-15
1174036578 Ideal Telemedicine Services, LLC Clinic/Center 516 N Rolling Rd Ste 301, Catonsville, MD 21228 2017-11-08
1932627239 Mind Over Matter Health Services, Inc. Community/Behavioral Health 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 2017-09-07
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134637036 Margaret Hartzell Mcmillan Social Worker 426 Westshire Dr, Catonsville, MD 21228-3207 2018-01-14
1588112478 Jessica Caley Devlin Grisard Social Worker 5740 Executive Dr, Suite 220, Catonsville, MD 21228-1766 2016-09-20
1770949976 Hannah Pfeifer Social Worker 17 Sanford Ave, Catonsville, MD 21228-5004 2016-01-05
1104213610 Rebecca Statman Social Worker 500 Wade Ave, Treatment Research Unit - Tawes A, Catonsville, MD 21228 2015-04-22
1013312834 Joseph Zappala Social Worker 508 Frederick Rd, Catonsville, MD 21228 2014-10-23
1609298694 Coleman & Associates Social Worker 6630 Baltimore National Pike # S205b, Catonsville, MD 21228-3920 2014-01-10
1467881870 Marni Mcgarry Social Worker 221 Paradise Ave, Catonsville, MD 21228-3654 2013-11-06
1568806040 Joanne Marie Taylor Social Worker 1809 Westchester Ave, Catonsville, MD 21228-4036 2013-04-26
1376880872 Stanley Carl Zdancewicz Social Worker 2 W. Rolling Crossroads, Suite 209, Catonsville, MD 21228 2013-01-04
1215293642 Lois Ann Blum Social Worker 2 Scotch Elm Ct, Catonsville, MD 21228-5871 2012-04-10
Find all providers in CATONSVILLE

Competitor

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City CATONSVILLE
Zip Code 21228

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Dataset Information

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.

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