Brooke Leone Long, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3171763 Issued in ID

Practice address

229 Nez Perce Ave
Rexburg, ID 83440-2268

Phone

(208) 360-2626

NPI assigned

May 22, 2025

Last updated

May 22, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1306639489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 NEZ PERCE AVE",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402268",
            "telephone_number": "208-360-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NEZ PERCE AVE",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402268",
            "telephone_number": "208-360-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BROOKE",
        "middle_name": "LEONE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "3171763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Richard Lewis, DDS
• Elias R Lines, DO
• Kathleen Little
• Robert Curtis Lofgran, M.D.
• Steven Hansen Lofgran, MD
• Todd J Lundquist, PHARMD
• Nicole Lybbert
• Kirk Lynn Mace, MSW
• Bree Anne Mackenzie, PTA
• Madison Anesthesia Services PA

• Social Worker in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.