Stephen R Longley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0135756 Issued in VT

Practice address

143 Church St
Dorset, VT 05251-2001

Phone

(802) 445-5703

NPI assigned

Sep 27, 2021

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VT

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, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

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.

• Jackson Peak Counseling, PLLC

  • Clinical Social Worker
  • Dorset, VT
  • NPI 1194572818
  Medicare reassignment NPD Authorized official
• United Counseling Service of Bennington County, Inc.

  • Clinic/Center
  • Bennington, VT
  • NPI 1427104132
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1417628686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56",
            "city": "DORSET",
            "state": "VT",
            "postal_code": "052510056",
            "telephone_number": "802-445-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 CHURCH ST",
            "city": "DORSET",
            "state": "VT",
            "postal_code": "052512001",
            "telephone_number": "802-445-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ledgehill Rd",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052015200",
            "country_code": "US",
            "telephone_number": "802-442-5491",
            "fax_number": "802-442-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGLEY",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2024-07-16",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bennington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bennington",
            "address_1": "100 Ledgehill Rd",
            "city": "Bennington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "052015200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bennington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Ledgehill Rd",
            "city": "Bennington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "052015200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miguel Guardado Avelar
• Bradford Marshall Hammond, LCMHC
• Jackson Peak Counseling, PLLC
• Judith M Kernodle, MD
• Jody Lee Knapp, DC
• Patricia A Michl, MS, CCC-SLP
• Ewa S Mosiej-Polkosnik, RPH
• Mountain Valley, LLC (Vermont Hearing Center)
• Meredith Ozier, M.S., L.C.M.H.C.
• Village Healthworks Chiro, LLC

• Clinical Social Worker in Dorset, VT
• Providers in Dorset, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.