Kaitlyn Elizabeth Long, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06532700 Issued in NJ

Practice address

1127 Route 47 S Ste 9
Rio Grande, NJ 08242-1609

Phone

(609) 486-2003

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bestlife Counseling Services LLCGroup PAC ID 5597105205, 4 clinicians

Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bestlife Counseling Services LLC

  • Mental Health Counselor
  • Rio Grande, NJ
  • NPI 1871187344

  Social Worker

  Medicare reassignment Care Compare group NPD
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1295479616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 ROUTE 47 S STE 9",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 ROUTE 47 S STE 9",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421609",
            "telephone_number": "609-486-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06532700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kovarik, DC
• Meghan L Kozlowski, DPT
• Vincent Leszczynski, LSW
• Van Lieu
• Clyde Neal Lipke, P.T.
• Johnny Love Sr., CADC
• Heather Ludwikowski, RPH
• Luxottica of America Inc (Pearle Vision #C6865)
• Caroline Magnual, APN-C
• Josephine H. Mahoney, RPH

• Social Worker in Rio Grande, NJ
• Providers in Rio Grande, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.