Natasha Scarlett Russ-Long, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003752 Issued in NC

Practice address

105 W Broad St
Elizabethtown, NC 28337-9311

Phone

(910) 879-0218

Fax

(910) 879-1018

NPI assigned

Jan 10, 2006

Last updated

May 5, 2016By 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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pace Health Network LLCGroup PAC ID 2567742513, 8 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.

• Pace Health Network, LLC

  • Psychiatry Physician
  • Whiteville, NC
  • NPI 1063960904
  Medicare reassignment Care Compare group NPD
• Southeastern Regional Mental Health Center

  dba Arbor CAS

  • Counselor
  • Lumberton, NC
  • NPI 1689809782
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1396724225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1657",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283371657",
            "telephone_number": "910-879-0218",
            "fax_number": "910-879-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W BROAD ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379311",
            "telephone_number": "910-879-0218",
            "fax_number": "910-879-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS-LONG",
        "first_name": "NATASHA",
        "middle_name": "SCARLETT",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "133YF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002569",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert L Rich Jr., MD
• Bonnie Rochester, OT
• Crystal Michelle Rogers, DNP
• Reginald Rogers
• Rochelle Marcella Rose, MSW, PLCSW
• Elizabeth Sagan
• Samuel Ray Cross DDS PA
• Eric E Schmidt, O.D.
• Schultz Ellis Chiropractic Center
• Harvey C Schultz Jr., D.C.

• Clinical Social Worker in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.