Jo Mary Long, LICSW
Social Worker, Clinical in Westport, Massachusetts
1528157443- Practice location
- 519 American Legion Hwy, Ste 2, Westport, MA 02790-4100
- Phone
- 508-636-6423
- Fax
- 508-636-8041
- Last updated
- April 2, 2018
Jo Mary Long is a Social Worker, Clinical based in Westport, MA. Jo Mary Long practices in Westport, MA and has the professional credentials of LICSW. The NPI Number for Jo Mary Long is 1528157443 and holds a License No. 1021707 (MA). The current practice location address for Jo Mary Long is 519 American Legion Hwy, Ste 2, Westport, MA 02790-4100 and can be reached out via phone at 508-636-6423 and via fax at 508-636-8041.
Provider Profile Details
- NPI Number
- 1528157443
- Provider Name
- Jo Mary Long
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 519 American Legion Hwy, Ste 2, Westport, MA 02790-4100
- Phone Number
- 508-636-6423
- Fax Number
- 508-636-8041
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 11, 2006
- Last Update Date
- April 2, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 519 American Legion Hwy
Ste 2
Westport, MA 02790-4100 - City
- Westport
- State
- Massachusetts
- Zip
- 02790-4100
- Phone Number
- 508-636-6423
- Fax Number
- 508-636-8041
Provider Business Mailing Address Details
- Address
- 519 American Legion Hwy
Ste 2
Westport, MA 02790-4100 - City
- Westport
- State
- MA
- Zip
- 02790-4100
- Phone Number
- 508-636-6423
- Fax Number
- 508-636-8041
License Information
- License Number (1)
- 1021707
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 1021707
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Westport, MA
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Frequently Asked Questions
What is the NPI number of Jo Mary Long, LICSW?
The NPI number of Jo Mary Long, LICSW is 1528157443. It was assigned on October 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Jo Mary Long, LICSW?
Jo Mary Long, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1021707.
Where does Jo Mary Long, LICSW practice?
The practice location is 519 American Legion Hwy, Ste 2, Westport, MA 02790-4100. The office can be reached at 508-636-6423 (phone) or 508-636-8041 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528157443 directly on the NPPES registry website.