Tesi Taylor Long, ASW91680

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110038 Issued in CA

Practice address

33100 County Road 31
Davis, CA 95616-9523

Phone

(530) 702-6000

NPI assigned

Oct 12, 2015

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

Other names 1

• Tesi Taylor Keen Former name

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1184095531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 COUNTY ROAD 31",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169523",
            "telephone_number": "530-702-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 COUNTY ROAD 31",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169523",
            "telephone_number": "530-702-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "TESI",
        "middle_name": "TAYLOR",
        "credential": "ASW91680",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESI",
            "last_name": "KEEN",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamara Lynn Lockwood
• Ian J Logan, M.D.
• Julia Sherk Logan, M.D.
• Jefrey Lomeli
• Margaret F Lonergan
• Longs Drug Stores California LLC (CVS Pharmacy #09282)
• Longs Drug Stores California LLC (CVS Pharmacy #09142)
• Ana Lopez-Vera, M.D.
• Ariana Aurora Lopez
• Javier Enrique Lopez

• Clinical Social Worker in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.