Individual provider Active NPI

Griszel Long, L.C.S.W

  • Mental Health Counselor
  • Rockledge, PA
National Provider Identifier
1255739892
Registry record updated Dec 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW017907 Issued in PA
Practice address
300 Jarrett Ave
Rockledge, PA 19046-4227
Phone
(215) 873-9089
NPI assigned
Dec 14, 2014
Last updated
Dec 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW017907 PA Primary

Addresses

Primary practice location

300 Jarrett Ave
Rockledge, PA 19046-4227

Mailing address

300 Jarrett Ave
Rockledge, PA 19046-4227
Phone (215) 873-9089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW017907PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwatercounseling Mental Health Current Accepting new patients
Ultracare Anesthesia Partners LLC Past Accepting new patients

Locations

500 Office Center Dr
Ste 400
Ft Washington, PA 19034
Phone (267) 513-1722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1255739892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JARRETT AVE",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464227",
            "telephone_number": "215-873-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JARRETT AVE",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464227",
            "telephone_number": "215-873-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "GRISZEL",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW017907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, PA

Sources for this page

Verify at the official NPI Registry.