MR. WILLARD TRUMAN LONG JR. (NPI# 1902350275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902350275 |
| Entity Type | Individual |
| Full Name | MR. WILLARD TRUMAN LONG JR. |
| Credential | MSW LGSW LCSWA |
| Practice Address |
410 Ferry St Montgomery WV 25136 |
| Mailing Address |
7410 Chickadee Ct Sanford NC 27332-8810 |
| Practice Telephone | 3045536218 |
| Mailing Telephone | 9108240608 |
| Mailing Fax Number | 9104669001 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P013072 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
BP02940160 | WV | Behavioral Health & Social Service Providers |
| Street Address |
410 FERRY ST |
| City | MONTGOMERY |
| State | WV |
| Zip Code | 25136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
| 1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
| 1295809507 | Lou Ann Bowen | Anesthesiology | 401 6th Ave, Montgomery, WV 25136-0270 | 2006-11-20 |
| 1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
| 1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 1447311451 | Kennedy Dental Office | Dentist | 410 4th Ave, Montgomery, WV 25136-2105 | 2006-12-13 |
| Find all providers in zip 25136 | ||||
| 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 |
|---|---|---|---|---|
| 1265051130 | Crystal Nicole Norris | Social Worker | 6068 Little Ln, Montgomery, AL 36117-2737 | 2020-04-10 |
| 1356983803 | Dawn A Ellis-murray | Social Worker | 2419 Walbash Dr, Montgomery, AL 36116-2210 | 2019-10-16 |
| 1245881838 | Turenza Smith-woods | Social Worker | 3608 Wiley Rd, Montgomery, AL 36106-3230 | 2019-09-25 |
| 1487215844 | Aubrey Carpenter | Social Worker | 6771 Taylor Cir, Montgomery, AL 36117-3417 | 2019-06-26 |
| 1255996344 | Thomas Bollinger | Social Worker | 31 Regency Pt, Montgomery, TX 77356-9094 | 2019-05-05 |
| 1558887547 | Rachel Spear | Social Worker | 135 Benedict Rd, Montgomery, NY 12549-2301 | 2017-08-21 |
| 1396261459 | First Choice Home Health & Behavioral Services LLC | Social Worker | 3308 Elebash Hl, Montgomery, AL 36106-3476 | 2017-08-19 |
| 1851824759 | Sandra Sarmiento | Social Worker | 2068 Kate Dr, Montgomery, IL 60538-6001 | 2017-04-06 |
| 1407202906 | Bailey Renstrom | Social Worker | 201 Cardinal Dr, Montgomery, NY 12549-1710 | 2016-05-13 |
| 1992180293 | Kathryne Noel Wilkins | Social Worker | 11836 Grand Harbor Blvd, Montgomery, TX 77356-4949 | 2015-07-28 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 25136 |
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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.