Eileen Long, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2013010516 Issued in MO

Practice address

1001 Southwest Blvd
Ste. F
Jefferson City, MO 65109-2501

Phone

(573) 424-1108

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By the provider in NPPES

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 names 1

• Eileen Rold Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

University of Missouri, Columbia School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Cornerstone Counseling and Consulting, P.C.

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1437228905
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1053764480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SOUTHWEST BLVD",
            "address_2": "STE. F",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTHWEST BLVD",
            "address_2": "STE. F",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092501",
            "telephone_number": "573-424-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "EILEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2013010516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "ROLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Lock
• Colleen Teresa Loehr, M.D.
• Troy Loethen
• Loftin Eyecare, LLC
• Amy Lohraff, LPC
• Robert Joseph Lootens Jr., FNAO
• Kimberly R Lorentz, ANP
• Aimee Michelle Lorenz, MD
• Lotus Foundation, LLC
• Kathleen Grace Love

• Clinical Social Worker in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.