Nicole Jones Long, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017001 Issued in NC

Practice address

9930 Kincey Ave # 130
Huntersville, NC 28078-6541

Phone

(980) 556-7140

Fax

(704) 817-4147

NPI assigned

Oct 19, 2021

Last updated

Jun 27, 2025By 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

Other names 1

• Nicole Jones Wilson Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nlong1614191@direct.novanthealth.org

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.

• NH-CL Clinics, LLC

  dba CoreLife Novant Health

  • Family Medicine Physician
  • Kernersville, NC
  • NPI 1487276499
  Medicare reassignment Care Compare group NPD
• Empowerment Quality Care Services, LLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1437384302
  NPD
• Northern Piedmont Counseling PLLC

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1740689538

  Clinical

  NPD

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1548923394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE # 130",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "980-556-7140",
            "fax_number": "704-817-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8535 Cliff Cameron Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282695909",
            "country_code": "US",
            "telephone_number": "704-717-7477 x3007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Overhill Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178232",
            "country_code": "US",
            "telephone_number": "980-430-9205",
            "fax_number": "704-799-8949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "NICOLE",
        "middle_name": "JONES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WILSON",
            "middle_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendie Lloyd, LPC
• Kameron Logan, DC
• Christine Ann Logue
• Christine Trinidad Lomboy, MD
• Londry Modlin Tucker & Zimmer II DDS PLLC (Happy Teeth Pediatric Dentistry - Huntersville)
• Stacey Longoria, PMHNP-C
• Alexander Lopez, MS, LPA, HSP-PA
• Jennifer Lopez, FNP
• Sophia Lopez
• Love and Acceptance LLC

• Clinical Social Worker in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.