Alicia M Longmore, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1801377 Issued in OH

Practice address

5800 Monroe St Ste A1
Sylvania, OH 43560-2208

Phone

(419) 517-7073

Fax

(419) 517-0122

NPI assigned

Jan 28, 2020

Last updated

Mar 2, 2023By 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

Medicare fee-for-service enrollment

Enrolled in OH

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, 2016

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.

• Diana Lynn Theiss, PH.D., LISW-S

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1265722813
  Medicare reassignment
• Diana L Theiss PHD

  dba Sylvania Therapy and Counseling

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1396250338
  NPD

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1437780509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE A1",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602208",
            "telephone_number": "419-517-7073",
            "fax_number": "419-517-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE A1",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602208",
            "telephone_number": "419-517-7073",
            "fax_number": "419-517-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGMORE",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zaneta Mae Lockett
• Jessica Anne Lockhart, DC
• Heaven Lohmeyer
• Susan Maylea Long
• Elizabeth Ann Longeway
• Alisa Marie Lopez, CNP
• Kristi Lorenc, CNP
• Erin Losey, CNP
• Myiisha Marie Lott
• Sheeba Louis, MSN, APRN, FNP-BC

• Clinical Social Worker in Sylvania, OH
• Providers in Sylvania, 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 Mar 2, 2023; 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.