Individual provider Active NPI

Cynthia Lynn Longo, LCSW

  • Clinical Social Worker
  • Center Moriches, NY
National Provider Identifier
1164511564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P067996 Issued in NY
Practice address
430 Main St Ste 8
Center Moriches, NY 11934-3521
Phone
(631) 874-0185
Fax
(631) 874-0392
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 P067996 NY Primary

Addresses

Primary practice location

430 Main St Ste 8
Center Moriches, NY 11934-3521

Mailing address

24 Russell St
Manorville, NY 11949-3104
Phone (631) 878-7260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060123000942 NY Practitioner - Clinical Social Worker 5597789032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling and LCSW ServicesGroup PAC ID 3577605617, 17 clinicians

Practice addresses (Care Compare)

234 Main St
Center Moriches, NY 11934-3514
Phone (631) 874-0185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P067996NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections Community Center Inc Clinical CurrentSince Dec 3, 2025 Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients
Community Connections Counseling Servicecs Clinical Past Accepting new patients
Community Counseling Too LCSW Services PLLC Clinical PastSince Aug 11, 2024 Accepting new patients

Locations

468 Main St
Mastic Beach, NY 11951
Phone (631) 294-0216

Organizations & group practices 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164511564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RUSSELL ST",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493104",
            "telephone_number": "631-878-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN ST STE 8",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343521",
            "telephone_number": "631-874-0185",
            "fax_number": "631-874-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P067996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

Verify at the official NPI Registry.