DIANE M LONGO (NPI# 1497006050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497006050 |
| Entity Type | Individual |
| Full Name | DIANE M LONGO |
| Credential | LCSW |
| Practice Address |
620 21st St St Augustine FL 32084-1706 |
| Practice Telephone | 9048258091 |
| Practice Fax Number | 9048247895 |
| Mailing Telephone | 9048258091 |
| Mailing Fax Number | 9048247895 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW10907 | FL | Behavioral Health & Social Service Providers |
| Street Address |
620 21ST ST |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| 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 |
|---|---|---|---|---|
| 1902360837 | Yuliana Zapata | Social Worker | 201 Health Park Blvd Ste 212, St Augustine, FL 32086-5797 | 2019-01-24 |
| 1568933844 | Carrie Beth Reese | Social Worker | 1016 W Aiken St, St Augustine, FL 32084-9515 | 2018-12-11 |
| 1447773270 | Lori T Reasonover | Social Worker | 305 Kingsley Lake Dr Ste 702, St Augustine, FL 32092-3045 | 2017-07-24 |
| 1437605177 | Jenifer Long | Social Worker | 1301 Plantation Island Drive South, Suite 201a, St Augustine, FL 32080 | 2016-09-01 |
| 1528451333 | Jennifer Leighs Wilson | Social Worker | 141 Whispering Oaks Cir, St Augustine, FL 32080-1703 | 2015-03-18 |
| 1689072514 | Caitlin Rose Labrador | Social Worker | 1301 Plantation Island Dr S Ste 201b, St Augustine, FL 32080-3116 | 2014-12-09 |
| 1629417472 | Jill A. Yoerger-churchwell | Social Worker | 1 Oak Tree Ln, St Augustine, FL 32084-1236 | 2013-06-14 |
| 1659667194 | Jana S Mercado | Social Worker | 2040 Glenfield Crossing Ct, St Augustine, FL 32092-5035 | 2011-06-23 |
| 1568757458 | Carol Hooper, Lcsw | Social Worker | 9 East Ln, St Augustine, FL 32084-3209 | 2011-06-19 |
| 1659666543 | James Berwick, Lcsw | Social Worker | 505 22nd St, St Augustine, FL 32084-1798 | 2011-06-19 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on DIANE M LONGO.
| 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.