Susan Katharine Long, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6608 Issued in FL

Practice address

3150 Cardinal Dr Ste 200
Vero Beach, FL 32963-1931

Phone

(386) 847-6435

NPI assigned

Mar 16, 2009

Last updated

Feb 1, 2019By 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

Other names 1

• Mrs. Susan K Long Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1356582639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CATALINA ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606141",
            "telephone_number": "386-847-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CARDINAL DR STE 200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631931",
            "telephone_number": "386-847-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 17th St Ste 2T",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329607102",
            "country_code": "US",
            "telephone_number": "386-847-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "SUSAN",
        "middle_name": "KATHARINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LONG",
            "middle_name": "K",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allan C Loesch, C-PA
• Robert J. Loewinger, MD
• Kasumi Loffler
• Gary F. Lohse, M.S.P.T.
• Angela Loizou, APRN
• Longevity Rehabilitation Center Inc
• Aisha Lopez
• Jessica Lopez
• Leyda Lopez
• Carlos Antonio Lorenzo, DMD

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.