Individual provider Active NPI

Kristin M Long, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1619212297
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007882V Issued in VA
Practice address
2000 Bremo Rd
Ste 105
Richmond, VA 23226-2440
Phone
(804) 282-8332
Fax
(804) 288-4558
NPI assigned
Dec 7, 2012
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904007882V VA Primary

Addresses

Primary practice location

2000 Bremo Rd
Ste 105
Richmond, VA 23226-2440

Mailing address

2000 Bremo Rd Ste 105
Richmond, VA 23226-2440
Phone (804) 282-8332

Other names 1

  • Kristin Long Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20220223001324 VA Practitioner - Clinical Social Worker 1052705779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Virginia Institute of Pastoral Care IncGroup PAC ID 5799042586, 6 clinicians

Practice addresses (Care Compare)

2000 Bremo Rd
Suite 105
Richmond, VA 23226-2440
Phone (804) 282-8332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007882VVAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Institute of Pastoral Care Inc CurrentSince Nov 16, 2021 Accepting new patients

Locations

2000 Bremo Rd
Ste 105
Richmond, VA 23226
Phone (804) 282-8332

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, 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": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1619212297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-282-8332",
            "fax_number": "804-288-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BREMO RD",
            "address_2": "STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262440",
            "telephone_number": "804-282-8332",
            "fax_number": "804-288-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007882V",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "LONG",
            "credential": "KRISTIN LONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.