Jacquelyn Marie Longo, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW14514 Issued in FL

Practice address

20105 Sheldon St
Orlando, FL 32833-5630

Phone

(407) 575-5658

NPI assigned

Jun 15, 2021

Last updated

Jan 12, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Hispanic Family Counseling IncGroup PAC ID 5991946105, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Hispanic Family Counseling Inc

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1669727699

  Clinical

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1518535624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 LANCELOT WAY",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074547",
            "telephone_number": "407-575-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20105 SHELDON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328335630",
            "telephone_number": "407-575-5658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Orlando Central Pkwy Ste 480",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328095785",
            "country_code": "US",
            "telephone_number": "407-575-5658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGO",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW14514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Long
• Sophia Ngwenyama Long
• Tammy Yvonne Long, MA, NCC
• Catherine Longa, PHD
• Emily Longmoore, RD
• Patrice Jeneane Longworth, NNP
• Lonnie Aschebrook Acupuncture LLC
• Danielle Telhiard Lonsway, PA-C
• Thomas D Looke, MD, PHD
• Brianne N Loomis, AUD

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.