Active NPI
Denise Michelle Long, LMSW
- Social Worker
- Albuquerque, NM
National Provider Identifier
1316578784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M-10104
- Practice address
- 10555 Montgomery Blvd NE BLDG 2
Albuquerque, NM 87111-3857 - Phone
- (505) 503-7946
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M-10104 | NM | Primary |
Addresses
Primary practice location
10555 Montgomery Blvd NE BLDG 2
Albuquerque, NM 87111-3857
Mailing address
6147 Cyonus Ave NW
Albuquerque, NM 87114-4015
Phone (505) 818-9741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10104 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1316578784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6147 CYONUS AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144015",
"telephone_number": "505-818-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 MONTGOMERY BLVD NE BLDG 2",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871113857",
"telephone_number": "505-503-7946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "DENISE",
"middle_name": "MICHELLE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "M-10104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.