MS. DEBRA MOFFAT LONGO (NPI# 1942218698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942218698 |
| Entity Type | Individual |
| Full Name | MS. DEBRA MOFFAT LONGO |
| Credential | L.M.S.W. |
| Practice Address |
3145 W Clark Rd Suite #201 Ypsilanti MI 48197-1120 |
| Mailing Address |
2727 Jennings Rd Whitmore Lake MI 48189-9266 |
| Practice Telephone | 7345285700 |
| Practice Fax Number | 7345288008 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801063769 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750521738 | Debra Ann Longo | Licensed Practical Nurse | 2662 Gold Key Est, Milford, PA 18337-9697 | 2009-03-03 |
| Street Address |
3145 W CLARK RD SUITE #201 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408161 | Fayek Nicholas Shamma | Obstetrics & Gynecology | 3145 W Clark Rd, Ste 301, Ypsilanti, MI 48197-1120 | 2005-06-22 |
| 1578011615 | Justin Diebold | Physical Therapist | 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 | 2016-09-19 |
| 1588112619 | Ronald P. Adelman Dpm Pllc | Podiatrist | 3145 W Clark Rd, #201, Ypsilanti, MI 48197-1120 | 2016-09-19 |
| 1548717713 | Charlotte Cahill | Physical Therapist | 3145 W Clark Rd, 106, Ypsilanti, MI 48197-1120 | 2016-09-06 |
| 1699149997 | Patricia Watkins | Registered Nurse | 3145 W Clark Rd, Suite 303, Ypsilanti, MI 48197-1120 | 2015-11-24 |
| 1316321136 | Nathan Kangas | Physical Therapist | 3145 W Clark Rd, Ste 102, Ypsilanti, MI 48197-1120 | 2015-07-10 |
| 1801276274 | Washtenaw Podiatry Group, LLC | Podiatrist | 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197-1120 | 2015-06-01 |
| 1689061467 | Chelsea Professional Services | Internal Medicine | 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197-1120 | 2015-04-20 |
| 1346632106 | Kevern Hartmann | Physical Therapist | 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 | 2015-03-03 |
| 1952793804 | Cara House | Physical Therapist | 3145 W Clark Rd, Ypsilanti, MI 48197-1120 | 2015-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1952902199 | Nakedae R. Cooper | Social Worker | 5847 S Mohawk Ave, Ypsilanti, MI 48197-7119 | 2020-11-04 |
| 1922614791 | Anne Marie Solari | Social Worker | 2048 Washtenaw Rd Uppr Level, Ypsilanti, MI 48197-1889 | 2020-09-17 |
| 1285252478 | Layla Khayr | Social Worker | 1240 Leforge Rd Apt P8, Ypsilanti, MI 48198-3536 | 2020-07-14 |
| 1558985804 | Kelly Counseling and Consulting | Social Worker | 1159 Stamford Rd, Ypsilanti, MI 48198-3251 | 2020-06-02 |
| 1376166470 | Lauren Keough | Social Worker | 1204 Kingwood St, Ypsilanti, MI 48197-2142 | 2020-05-22 |
| 1750903886 | Tanyi Charles Agbor-baiyee | Social Worker | 7900 Shire Ln, Ypsilanti, MI 48197-1860 | 2020-05-12 |
| 1184273252 | Stephanie Nicole Shaw | Social Worker | 6048 Lake Dr, Ypsilanti, MI 48197-7046 | 2019-09-10 |
| 1447716964 | Jennifer Sue Bowles | Social Worker | 2352 Twin Lakes Dr Apt Ta, Ypsilanti, MI 48197-1477 | 2019-02-20 |
| 1497210926 | Yvette Colon | Social Worker | 124 Pearl St Ste 503, Ypsilanti, MI 48197-2663 | 2019-02-08 |
| 1679037428 | We Do Recover, LLC | Social Worker | 110 Pearl St, Ypsilanti, MI 48197-2650 | 2019-01-25 |
| Find all providers in YPSILANTI | ||||
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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.