Active NPI
Rodney Long Jr. Counseling, LLC.
- Clinical Social Worker
- Hudson, OH
National Provider Identifier
1053086843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RODNEY LONG JR. COUNSELING, LLC.
- Practice address
- 10 W Streetsboro St
Hudson, OH 44236-2850 - Phone
- (330) 510-1388
- NPI assigned
- Aug 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Long Jr., MSSA, LISW-S
- Title
- Owner
- Phone
- (330) 958-4038
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
10 W Streetsboro St
Hudson, OH 44236-2850
Mailing address
162 Northeast Ave
PO Box 342
Tallmadge, OH 44278
Phone (330) 958-4038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0274713 | Medicaid | OH | |
| 14558956 | Other | OH | CAQH |
National Provider Directory
National Provider DirectoryLocations
2046 12th St SW
Akron, OH 44314
10 W Streetsboro St
Hudson, OH 44236
Phone (330) 510-1388
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Tallmadge, OH
- NPI 1396109401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1053086843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 NORTHEAST AVE",
"address_2": "PO BOX 342",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "44278",
"telephone_number": "330-958-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W STREETSBORO ST",
"city": "HUDSON",
"state": "OH",
"postal_code": "442362850",
"telephone_number": "330-510-1388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODNEY LONG JR. COUNSELING, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-12",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-958-4038",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MSSA, LISW-S"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0274713",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14558956",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.