Organization Active NPI

Long Term Healing, PLLC

  • Clinical Social Worker
  • Bow, NH
National Provider Identifier
1073386843
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LONG TERM HEALING, PLLC
Practice address
501 South St
Bow, NH 03304-3416
Phone
(603) 310-8030
NPI assigned
Nov 3, 2023
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Genevieve Pura Long, LICSWNPI 1922713486
Title
Owner
Phone
(036) 310-8030

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

501 South St
Bow, NH 03304-3416

Mailing address

36 Leatherstocking LN
Gilmanton, NH 03237-5030

Other practice location 1

36 Leatherstocking Ln
Gilmanton, NH 03237-5030
Phone (845) 313-7824

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1073386843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LEATHERSTOCKING LN",
            "city": "GILMANTON",
            "state": "NH",
            "postal_code": "032375030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH ST",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033043416",
            "telephone_number": "603-310-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Leatherstocking Ln",
            "address_purpose": "LOCATION",
            "city": "Gilmanton",
            "state": "NH",
            "postal_code": "032375030",
            "country_code": "US",
            "telephone_number": "845-313-7824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG TERM HEALING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "PURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "036-310-8030",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.