Maryann Kuzio Longwell, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1159 Issued in CO

Practice address

1548 G St
2A
Salida, CO 81201-2645

Phone

(719) 329-4810

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chipita Counseling Services LLC

  • Clinical Social Worker
  • Salida, CO
  • NPI 1770923229
  Medicare reassignment NPD Authorized official
• JDL & Makl LLC

  • Clinical Social Worker
  • Salida, CO
  • NPI 1568784726
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370044800000",
    "number": "1053455352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E. OURAY AVE.",
            "address_2": "PO BOX 627",
            "city": "PONCHA SPRINGS",
            "state": "CO",
            "postal_code": "812420627",
            "telephone_number": "719-329-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 G ST",
            "address_2": "2A",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012645",
            "telephone_number": "719-329-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGWELL",
        "first_name": "MARYANN",
        "middle_name": "KUZIO",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "COA 103565",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69200084",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LJCC Services, LLC
• Edwin J Loeffel Jr., MD
• Christina Alvord Logan, MS, OTR/L
• Daniel Lombardo, M.D.
• Bruce A Long, D.D.S.
• Jennifer Loucks, LAC
• Kristen Esther Love
• Larry A Lund, OD
• Michael Patrick Madden, APN
• Philip Jonathan Maes, M.A., LMFT

• Clinical Social Worker in Salida, CO
• Providers in Salida, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.