Lydia Long, LCSWA,LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P008981 Issued in NC

Practice address

518 N Elm St
Greensboro, NC 27401-2018

Phone

(336) 209-0726

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1093065278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MORGAN COUNTRY RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038342",
            "telephone_number": "336-964-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012018",
            "telephone_number": "336-209-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LYDIA",
        "credential": "LCSWA,LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20732",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Allegra Lonergan, PA-C
• Sharon Anita Long-Stokes, D.D.S.
• Harriet Johnson Long, RN
• Jasmine Long
• Kimberly Lynnette Long, LCSW
• Scott David Long, PA-C
• Susan Westlake Longerbone, LOC NCC CEAP MAC
• Kaori Miyata Longphre, MD
• Longs Rest Home for the Aged
• Longs Rest Home III

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.