Active NPI
Callie Realta Long, LCSW
- Social Worker
- North Attleboro, MA
National Provider Identifier
1194215152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 226244
- Practice address
- 18 Church St
North Attleboro, MA 02760-1625 - Phone
- (508) 566-2636
- NPI assigned
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 226244 | MA | Primary |
Addresses
Primary practice location
18 Church St
North Attleboro, MA 02760-1625
Mailing address
PO Box 9120
Chelsea, MA 02150-9120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1194215152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9120",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021509120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CHURCH ST",
"city": "NORTH ATTLEBORO",
"state": "MA",
"postal_code": "027601625",
"telephone_number": "508-566-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "CALLIE",
"middle_name": "REALTA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "226244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.