Individual provider Active NPI

Amber Long, LCSW-C

  • Clinical Social Worker
  • Edgewater, MD
National Provider Identifier
1144870775
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24869 Issued in MD
Practice address
2600 Solomons Island Rd
Edgewater, MD 21037-1102
Phone
(443) 433-5900
Fax
(410) 841-6045
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 24869 MD Primary

Addresses

Primary practice location

2600 Solomons Island Rd
Edgewater, MD 21037-1102

Mailing address

2600 Solomons Island Rd
Edgewater, MD 21037-1102
Phone (443) 433-5900

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL EDGEWATER Direct
CONNECT URL arundellodge.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20220204000527 MD Practitioner - Clinical Social Worker 5294128765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Lodge, Inc.Group PAC ID 8123197050, 16 clinicians

Practice addresses (Care Compare)

2600 Solomons Island Rd
Edgewater, MD 21037-1102
Phone (443) 433-5900

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
90.4
Improvement activities
40
Cost
82.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24869MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Lodge, Inc CurrentSince Jan 20, 2022 Accepting new patients
Arundel Lodge, Inc CurrentSince Jan 20, 2022 Accepting new patients
Arundel Lodge, Inc. Current Accepting new patients

Locations

2600 Solomons Island Rd
Edgewater, MD 21037
Phone (443) 433-5900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1144870775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371102",
            "telephone_number": "443-433-5900",
            "fax_number": "410-841-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SOLOMONS ISLAND RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371102",
            "telephone_number": "443-433-5900",
            "fax_number": "410-841-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "AMBER",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EDGEWATER",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 Solomons Island Rd",
            "city": "Edgewater",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210371102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "arundellodge.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2600 Solomons Island Rd",
            "city": "Edgewater",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210371102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

Verify at the official NPI Registry.