JO MARY LONG (NPI# 1528157443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528157443 |
| Entity Type | Individual |
| Full Name | JO MARY LONG |
| Credential | LICSW |
| Practice Address |
519 American Legion Hwy Ste 2 Westport MA 02790-4100 |
| Practice Telephone | 5086366423 |
| Practice Fax Number | 5086368041 |
| Mailing Telephone | 5086366423 |
| Mailing Fax Number | 5086368041 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1021707 | MA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1021707 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CHIP | 406654 | 01 |
| MA | UNITED BEHAVIORAL HEALTH | 6207031 | 01 |
| TN | BLUE CROSS/BLUE SHIELD RI | 21079-7 | 01 |
| MI | BLUE CROSS/BLUE SHIELD | P06403 | 01 |
| Street Address |
519 AMERICAN LEGION HWY STE 2 |
| City | WESTPORT |
| State | MA |
| Zip Code | 02790-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154637536 | Veronica Joy Gagnon | Dental Hygienist | 15 Miss Rachel Trl, Po Box N171, Westport, MA 02790 | 2010-08-24 |
| 1447417837 | Karen M Burns | Registered Nurse | 780 Main Road, The Comfort of Touch, Westport, MA 02790 | 2008-05-22 |
| 1275743833 | Eric Vohnoutka | Chiropractor | 93 Union St., Westport, MA 02790 | 2007-05-23 |
| 1952322620 | Andrea Ghenta-drimbarean | Dentist | 767 Main Rd, Westport, MA 02790 | 2006-07-21 |
| 1063438349 | Westport Chiropractic, Inc | Chiropractor | 637 State Rd., Westport, MA 02790 | 2006-07-13 |
| 1053378646 | Mark P. Richard | Nurse Practitioner | 827 American Legion Highway, Westport, MA 02790 | 2006-04-27 |
| 1902153893 | Care Resource, LLC | Home Health | 829 Main Rd, Westport, MA 02790 | 2012-08-09 |
| 1578827689 | Mary Jane Mello | Dentist | 302 Village Way, Westport, MA 02790 | 2012-07-03 |
| 1083628382 | Karen Ottenstein | Family Medicine | 793 Main Rd, Westport, MA 02790 | 2006-07-29 |
| 1841564085 | Girard & Associates LLC | Local Education Agency (LEA) | 13 Kyle Jacob Rd, Westport, MA 02790-0696 | 2012-03-06 |
| Find all providers in zip 02790 | ||||
| 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 |
|---|---|---|---|---|
| 1558978619 | Meditoxcare LLC | Social Worker | 20 Saugatuck Ave Ste 2, Westport, CT 06880-5700 | 2020-09-23 |
| 1003420829 | Regenerative Psychotherapy Pllc | Social Worker | 95 Long Lots Rd, Westport, CT 06880-3919 | 2020-08-31 |
| 1982213500 | Laura Taets | Social Worker | 40 Reichert Cir, Westport, CT 06880-2643 | 2020-07-29 |
| 1013539030 | Risa Jill Werner | Social Worker | 12 Peaceful Lane, Westport, CT 06880 | 2020-05-13 |
| 1033693106 | Susan Arnold Oliver | Social Worker | 2 Oakstone Way, Westport, MA 02790-4338 | 2018-09-24 |
| 1003398298 | Joan Frimmer | Social Worker | 138 Imperial Avenue, Westport, CT 06880 | 2018-09-04 |
| 1477061547 | Justin Laprise | Social Worker | 360 Gifford Rd, Westport, MA 02790-3414 | 2018-01-11 |
| 1619486099 | Arnona Eden Davidai | Social Worker | 246 Post Rd E Fl 2, Westport, CT 06880-3615 | 2017-09-28 |
| 1245624634 | Danielle M Costa | Social Worker | 17 Plymouth Blvd, Westport, MA 02790-4607 | 2015-03-24 |
| 1235528068 | Christiane Kinseley | Social Worker | 28 Davenport Ave, Apt B, Westport, CT 06880-5830 | 2015-01-16 |
| Find all providers in WESTPORT | ||||
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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.