JENNIFFER A LONGO (NPI# 1922363068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922363068 |
| Entity Type | Individual |
| Full Name | JENNIFFER A LONGO |
| Other Name | JENNIFFER A LONGO |
| Credential | LCSW |
| Practice Address |
410 Windward Way Kalispell MT 59901 |
| Mailing Address |
410 Windward Way Kalispell MT 59901-2680 |
| Practice Telephone | 4067518331 |
| Mailing Telephone | 4067518331 |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2019-03-11 |
| 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 | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
37207 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE OF OREGON STATE BOARD OF LICENSED SOCIAL WORKERS | A3419 | 01 |
| Street Address |
410 WINDWARD WAY |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629083506 | Susan E Bodurtha | Clinical Nurse Specialist | 410 Windward Way, Kalispell, MT 59901-2680 | 2006-07-29 |
| 1104368992 | Cory Kohm | Counselor | 410 Windward Way, Kalispell, MT 59901-2680 | 2016-11-09 |
| 1992158588 | Amanda Marlin | Community/Behavioral Health | 410 Windward Way, Kalispell, MT 59901-2680 | 2016-07-19 |
| 1083079735 | Lisa Zug | Social Worker | 410 Windward Way, Kalispell, MT 59901-2680 | 2015-12-23 |
| 1376989947 | Mechelle L. Anderson | Registered Nurse | 410 Windward Way, Kalispell, MT 59901-2680 | 2013-05-22 |
| 1144566761 | Jason Mallonee | Social Worker | 410 Windward Way, Kalispell, MT 59901 | 2012-12-31 |
| 1477897908 | Heather Brown | Nurse Practitioner | 410 Windward Way, Kalispell, MT 59901-2680 | 2012-11-21 |
| 1598025140 | Teresa Joann Whitbey | Social Worker | 410 Windward Way, Kalispell, MT 59901-2680 | 2012-05-16 |
| 1265762371 | Wendie Mae Bauer | Counselor | 410 Windward Way, Kalispell, MT 59901-2680 | 2010-01-12 |
| 1770723439 | Blake M. Passmore | Counselor | 410 Windward Way, Kalispell, MT 59901-2680 | 2009-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| 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 |
|---|---|---|---|---|
| 1629590179 | Garrett Clayton Epperson | Social Worker | 38 E Washington St Ste 3, Kalispell, MT 59901-3974 | 2017-07-15 |
| 1184159311 | Elizabeth Norwood | Social Worker | 17 2nd St E Ste 207, Kalispell, MT 59901-4500 | 2017-04-25 |
| 1841595394 | Teresa L Carlson | Social Worker | 425 Lake Hills Ln, Kalispell, MT 59901-7427 | 2011-01-13 |
| 1497717979 | Dennis Lee Duffy Peet | Social Worker | 40 2nd Street East, Suite 236, Kalispell, MT 59901-6114 | 2006-04-03 |
| 1407841950 | Tanjariitta Annika Anttila Van Hoover | Social Worker | 1605 Danielson Rd, Kalispell, MT 59901-7252 | 2005-09-12 |
| 1467948737 | Jennifer L Schaffner | Social Worker | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-07-10 |
| 1407233059 | Stephanie Cymbal | Social Worker | 245 Windward Way, Kalispell, MT 59901-3133 | 2015-05-04 |
| 1790117000 | Camalla Larson | Social Worker | 38 E Washington St, Ste 3, Kalispell, MT 59901-3974 | 2013-08-08 |
| 1255689246 | Stevia Baldwin | Social Worker | 20 3rd St E, Kalispell, MT 59901-4573 | 2012-08-22 |
| 1669728192 | Megan Lavin Keenan | Social Worker | 723 5th Ave E Ste 110c, Kalispell, MT 59901-5325 | 2012-08-02 |
| Find all providers in KALISPELL | ||||
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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.