Karen Long, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0026986 Issued in OH

Practice address

88MDG/SGHJ
4881 Sugar Maple Dr.
Wright-Patterson Afb, OH 45433

Phone

(937) 929-0982

NPI assigned

Aug 27, 2013

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

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.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Dene S Berman Lifespan Counseling Associates

  • Mental Health Counselor
  • Beavercreek, OH
  • NPI 1407991862

  Clinical

  NPD (past)

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1346674231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 BUGLE BLUFF DR",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453058854",
            "telephone_number": "937-499-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88MDG/SGHJ",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-929-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 MEADOWBRIDGE DR",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454340398",
            "country_code": "US",
            "telephone_number": "937-426-2079",
            "fax_number": "937-426-0211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "KAREN",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2020-10-02",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "0026986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Linde
• Joshua Joseph Lindquist, CRNA
• John Jackson Linnett, M.D.
• Christopher Thomas Liptock
• Denise A Lockhart, R.D.
• Sydni Long
• Julianne C Longo, PA-C
• Drake Lukwago
• Brian Machi, CNS
• Guy R Majkowski, PT,DSC,OCS.FAAOMPT

• Clinical Social Worker in Wright-Patterson Afb, OH
• Providers in Wright-Patterson Afb, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.