Lindsay Ann Marie Longo, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26366 Issued in MD

Practice address

2005 Rock Spring Rd Ste 4
Forest Hill, MD 21050-2621

Phone

(443) 526-1425

NPI assigned

Jun 25, 2021

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Lindsay Ann Marie Opitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Polaris Recovery Center LLC

  dba Maryland Addiction Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Towson, MD
  • NPI 1467882878
  NPD (past)
• Polaris Detox LLC

  dba Innovo Detox

  • Substance Abuse Rehabilitation Facility
  • Abbottstown, PA
  • NPI 1801427687
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1245800911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ROCK SPRING RD STE 4",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502621",
            "telephone_number": "443-526-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ROCK SPRING RD STE 4",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502621",
            "telephone_number": "443-526-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "LINDSAY ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139231",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "26366",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "26366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY ANN",
            "last_name": "OPITZ",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lifebridge Community Physicians (Dr Steven Dannenfelser)
• Christina Lin, PA-C
• Lisa Marie Lippa, COTA/L
• Jessica Long
• Peyton Alexis Long, RBT
• Beth Hickey Lopez
• Kimberly Lynn Lord, PHYSICAL THERAPIST
• Ashley Lundon
• Gary M Lynch, P.T.
• Sarah Lynch

• Clinical Social Worker in Forest Hill, MD
• Providers in Forest Hill, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.