Individual provider Active NPI

Christopher Longoria, LCSW

  • Clinical Social Worker
  • Elizabethtown, KY
National Provider Identifier
1447616156
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
253123 Issued in KY
Practice address
1518 Yorkshire Dr
Elizabethtown, KY 42701-9191
Phone
(270) 594-1199
NPI assigned
Jan 11, 2016
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7353 KY
Clinical Social Worker 1041C0700X 253123 KY Primary

Addresses

Primary practice location

1518 Yorkshire Dr
Elizabethtown, KY 42701-9191

Mailing address

1002 N Mulberry St
Elizabethtown, KY 42701-2037
Phone (270) 982-9292

Other practice location 1

1002 N Mulberry St
Elizabethtown, KY 42701-2037
Phone (270) 982-9292

Other practice location 2

1002 N Mulberry St
Elizabethtown, KY 42701-2037
Phone (270) 982-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7353KYMDSocial Worker
253123KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling and Consultation, PLLC CurrentSince Jun 5, 2022 Accepting new patients
Brighter Futures Counseling, PLLC Clinical Past Accepting new patients
Building Foundations Counseling and Consultation Clinical PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1447616156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012037",
            "telephone_number": "270-982-9292",
            "fax_number": "270-982-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 YORKSHIRE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019191",
            "telephone_number": "270-594-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012037",
            "country_code": "US",
            "telephone_number": "270-982-9292",
            "fax_number": "270-982-9293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 N Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012037",
            "country_code": "US",
            "telephone_number": "270-982-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7353",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.