Individual provider Active NPI

Elizabeth Scott Long, MSW LISW

  • Social Worker
  • Mansfield, OH
National Provider Identifier
1205914769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I1257 Issued in OH
Practice address
605 S Trimble Rd Suite D
Life Steps Inc
Mansfield, OH 44906
Phone
(419) 756-9975
Fax
(419) 756-1405
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X I1257 OH Primary

Addresses

Primary practice location

605 S Trimble Rd Suite D
Life Steps Inc
Mansfield, OH 44906

Mailing address

605 S Trimble Rd
Suite D
Mansfield, OH 44906
Phone (419) 756-9975

Other identifiers 1

IdentifierTypeStateIssuer
3417125562A13OtherMEGELLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100921000099 OH Practitioner - Clinical Social Worker 5597880005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Steps IncGroup PAC ID 7517082027, 2 clinicians

Practice addresses (Care Compare)

1080 Lexington Ave
Mansfield, OH 44907-2250
Phone (419) 756-9975

605 S Trimble Rd
Suite D
Mansfield, OH 44906-4112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1257OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Steps Inc CurrentSince Mar 1, 1998 Accepting new patients
Dr Jay D Haar Past Accepting new patients

Locations

1080 Lexington Ave
Mansfield, OH 44907
Phone (419) 756-9975

605 S Trimble Rd
Ste D
Mansfield, OH 44906
Phone (419) 564-3633

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205914769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD",
            "address_2": "SUITE D",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-756-9975",
            "fax_number": "419-756-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S TRIMBLE RD SUITE D",
            "address_2": "LIFE STEPS INC",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-756-9975",
            "fax_number": "419-756-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ELIZABETH",
        "middle_name": "SCOTT",
        "name_prefix": "Ms.",
        "credential": "MSW LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I1257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGELLAN",
            "identifier": "3417125562A13",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.