ANDREA LONG (NPI# 1821385303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821385303 |
| Entity Type | Individual |
| Full Name | ANDREA LONG |
| Practice Address |
4161 Carmichael Ave 3300 Building, Suite 150 Jacksonville FL 32207-2353 |
| Practice Telephone | 9043968750 |
| Mailing Telephone | 9043968750 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2014-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134375033 | Andrea Long | Case Manager/Care Coordinator | 4405 Waterlily Cv, Lexington, KY 40515-6471 | 2008-08-11 |
| 1689198186 | Andrea C Long | Pharmacist | 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 | 2017-07-27 |
| 1619210853 | Andrea Lynn Long | Social Worker | 304 S Niagara St, Saginaw, MI 48602-1570 | 2013-04-05 |
| 1336463694 | Andrea Eileen Long | Occupational Therapist | 3721 Crescent Ct W, Whitehall, PA 18052-3446 | 2010-03-16 |
| 1851529564 | Andrea Michelle Long | Surgery | 2823 Fresno St, Fresno, CA 93721-1324 | 2009-07-01 |
| 1225193014 | Andrea Long | Speech-Language Pathologist | 4901 N Shore Dr, North Little Rock, AR 72118-5293 | 2006-12-22 |
| 1194891598 | Andrea Long | Counselor | 1805 Airline Blvd, Portsmouth, VA 23707-3912 | 2006-11-28 |
| 1194804963 | Andrea Long | Physical Therapist | 6300 Telegraph Ave, Oakland, CA 94609-1329 | 2006-11-03 |
| Street Address |
4161 CARMICHAEL AVE 3300 BUILDING, SUITE 150 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578715967 | Anne Dyna Derival | Social Worker | 4161 Carmichael Ave, Bldg 3300, Suite 150, Jacksonville, FL 32207-2353 | 2008-10-16 |
| 1609116557 | Sibbie Mccary | Social Worker | 4161 Carmichael Ave, 3300 Building, Suite 150, Jacksonville, FL 32207-2353 | 2013-02-28 |
| 1710223912 | Christopher R Hervey | Social Worker | 4161 Carmichael Ave, Bldg. 3300 Suite 150, Jacksonville, FL 32207-2353 | 2012-12-17 |
| 1174804017 | Joanna Schneider | Nurse Practitioner | 4161 Carmichael Ave, Building 3300, Suite 152, Jacksonville, FL 32207-2353 | 2011-09-06 |
| 1427379585 | Sanjae E Edwards | Social Worker | 4161 Carmichael Ave, 140, Jacksonville, FL 32207-2353 | 2010-06-11 |
| 1760620561 | Herman Emilio Hoyos | Social Worker | 4161 Carmichael Ave, Building 3300, Suite 150, Jacksonville, FL 32207-2353 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653718 | Regina Sherman | Social Worker | 10135 Gate Pkwy N Suite 1516, Jacksonville, FL 32246-8267 | 2020-09-11 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1790325199 | Brittany Barrett | Social Worker | 1526 Parental Home Rd, Jacksonville, FL 32216-3010 | 2020-01-14 |
| 1215592654 | Giana Marie Bobka | Social Worker | 3831 Forest Blvd, Jacksonville, FL 32246-6474 | 2019-05-01 |
| 1063979532 | Morgan E Phoebus | Social Worker | 209 Sage Pl, Jacksonville, NC 28540-3109 | 2019-02-20 |
| 1629549290 | Christina Roman | Social Worker | 6810 Long Meadow Cir S, Jacksonville, FL 32244-6177 | 2018-12-07 |
| 1356826549 | Shecolby Sims | Social Worker | 11640 Tanager Dr, Jacksonville, FL 32225-2565 | 2018-10-03 |
| 1275023558 | Vernell King | Social Worker | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-13 |
| 1316436660 | Sheronda Nicole Holzendorf | Social Worker | 5559 Verbena Rd, Jacksonville, FL 32209-2418 | 2018-05-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on ANDREA LONG.
| 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.