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Dr. Jack Martin Long, PHD
Clinical Social Worker in Catonsville, Maryland
NPI 1447296629

Jack Martin Long is a Clinical Social Worker based in Catonsville, MD and is specialized in Clinical. Jack Martin Long practices in Catonsville, MD and has the professional credentials of PHD. The NPI Number for Jack Martin Long is 1447296629 and holds a License No. 03068 (Maryland).

The current practice location address for Jack Martin Long is 720C Maiden Choice Ln, Catonsville, MD and can be reached out via phone at 410-744-5499 and via fax at 410-455-0894.

Location: 720C Maiden Choice Ln, Catonsville, MD, 21228-5940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447296629
Provider Name
Jack Martin Long
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
720C Maiden Choice Ln, Catonsville, MD, 21228-5940
Phone Number
410-744-5499
Fax Number
410-455-0894
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
755011100 05 MD
R7610001 01 MD BC/BS FEDERAL
Q292JM 01 MD BLUE CROSS/ BLUE SHIELD
R7610001 01 MD BLUE CHOICE
276629 01 MD MAMSI
institution
Provider Business Practice Location Address Details
Address
720C Maiden Choice Ln
City
Catonsville
State
Maryland
Zip
21228-5940
Phone Number
410-744-5499
Fax Number
410-455-0894
person
Provider Business Mailing Address Details
Address
720C Maiden Choice Ln
City
Catonsville
State
Maryland
Zip
21228-5940
Phone Number
410-744-5499
Fax Number
410-455-0894
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
03068 (Maryland)
Definition
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.
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