Kristin Kathleen Long, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6809 Issued in OK

Practice address

One Choctaw Way
Behavioral Health
Talihina, OK 74571

Phone

(918) 567-3065

Fax

(918) 567-3917

NPI assigned

Jun 3, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1407414600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHOCTAW WAY",
            "address_2": "BEHAVIORAL HEALTH",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "74571",
            "telephone_number": "918-567-3065",
            "fax_number": "918-567-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CHOCTAW WAY",
            "address_2": "BEHAVIORAL HEALTH",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "74571",
            "telephone_number": "918-567-3065",
            "fax_number": "918-567-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KRISTIN",
        "middle_name": "KATHLEEN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "6809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KKLong@cnhsa.com",
            "affiliation": "Y",
            "affiliationName": "Choctaw Nation Health Services Authority",
            "address_1": "One Choctaw Way",
            "address_2": "Behavioral Health",
            "city": "Talihina",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willys Lyndon Lamb, D.P.M.
• Randi Ranae Lanier, PHARMD
• Jeremy P Lawson, DPH
• David Wee Lee, D.O.
• Amelia C Lewis, M.D.
• Trina Long, MA LPC
• Herve Arthur Lucier, PA-C
• Janet Rae Maddox, CDCES
• Christopher Mariano, DOCTOR OF PHARMACY
• Kristi Kaye Martin, MS, CCC/SLP

• Social Worker in Talihina, OK
• Providers in Talihina, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.