S Ann Long Trauma Therapist Collective PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

S ANN LONG TRAUMA THERAPIST COLLECTIVE PLC

Practice address

12 Green Mountain Dr Apt 7
Iowa City, IA 52245-3814

Phone

(319) 321-4564

NPI assigned

Dec 25, 2023

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

S Ann Long, LISW

Title

Therapy Sole MBR

Phone

(319) 321-4564

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Ann Long, LISW

  • Clinical Social Worker
  • Iowa City, IA
  • NPI 1861165730
  Medicare reassignment NPD

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1225807886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREEN MOUNTAIN DR APT 7",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453814",
            "telephone_number": "319-321-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREEN MOUNTAIN DR APT 7",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453814",
            "telephone_number": "319-321-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S ANN LONG TRAUMA THERAPIST COLLECTIVE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-25",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPY SOLE MBR",
        "authorized_official_telephone_number": "319-321-4564",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ellen Ryan, PTA
• Mary Therese Ryan, DDS
• Sarah Elizabeth Ryan, MD
• Thomas Ryan, OTR/L
• Zoe Ryan, MD
• Sara Saad El-Dein, MD
• Mothana Mouffaq Saad Eldine, MD
• Yosra Saad
• Dimah Nayef Saade, M.D.
• Luke Thomas Sabal

• Clinical Social Worker in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.