Marcia Gail Long, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4732 Issued in OR

Practice address

1001 Washington St
Suite 8
Eugene, OR 97401-3419

Phone

(541) 510-0009

Fax

(541) 654-5489

NPI assigned

Jun 11, 2007

Last updated

Sep 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• M Gail Long Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1215131636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 MILL ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053951",
            "telephone_number": "541-510-0009",
            "fax_number": "541-654-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WASHINGTON ST",
            "address_2": "SUITE 8",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013419",
            "telephone_number": "541-510-0009",
            "fax_number": "541-654-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARCIA",
        "middle_name": "GAIL",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M GAIL",
            "last_name": "LONG",
            "credential": "M.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lonerock Clinic LLC (Mind Med Mental Health)
• Carlee Long, OTR/L
• Connie Ann Long
• Janet Marie Long, LPN
• Madison May Long
• Miah Long, LPC
• Nasya Longmire
• Robin Guiles Longnight, LCSW
• Kim Longo, QMHP
• Zayra Nayel Longoria, M.S., PH.D., Q.M.H.P

• Clinical Social Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.