Individual provider Active NPI

Robert Longest, LCSW

  • Clinical Social Worker
  • San Angelo, TX
National Provider Identifier
1205533452
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106126 Issued in TX
Practice address
1207 S Abe St
San Angelo, TX 76903-7266
Phone
(325) 718-4955
NPI assigned
Feb 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 106126 TX Primary

Addresses

Primary practice location

1207 S Abe St
San Angelo, TX 76903-7266

Mailing address

1207 S Abe St
San Angelo, TX 76903-7266

Other identifiers 1

IdentifierTypeStateIssuer
106126OtherTXTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241231002017 TX Practitioner - Clinical Social Worker 2860929916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cortexa Care PLLC Clinical Current Accepting new patients
Journeys Counseling Center CurrentSince Nov 22, 2024 Accepting new patients

Locations

4703 S Loop 289
Lubbock, TX 79424
Phone (806) 445-4190

Organizations & group practices 2

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": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1205533452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S ABE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769037266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S ABE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769037266",
            "telephone_number": "325-718-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGEST",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "106126",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.