Active NPI
Karen E Long, LSW
- Clinical Social Worker
- Mason, OH
National Provider Identifier
1609972595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S-1617
- Practice address
- 201 Reading Rd
Mason, OH 45040-1666 - Phone
- (513) 398-2551
- Fax
- (513) 459-7300
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S-1617 | OH | Primary |
Addresses
Primary practice location
201 Reading Rd
Mason, OH 45040-1666
Mailing address
107 Oregonia Rd
2ND Floor
Lebanon, OH 45036-3903
Phone (513) 695-2411
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
| License | State | Type | Specialty |
|---|---|---|---|
| S-1617 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Centers of Warren County, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, OH
- NPI 1740278381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609972595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 OREGONIA RD",
"address_2": "2ND FLOOR",
"city": "LEBANON",
"state": "OH",
"postal_code": "450363903",
"telephone_number": "513-695-2411",
"fax_number": "513-695-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 READING RD",
"city": "MASON",
"state": "OH",
"postal_code": "450401666",
"telephone_number": "513-398-2551",
"fax_number": "513-459-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "KAREN",
"middle_name": "E",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S-1617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.