Lee K Long, LCSW – Clinical Social Worker

Key facts

NPI: 1619981008
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 1672C (AR)
Practice address: 2410 Hwy 65 N
Deeta Counseling Associates Inc
McGehee, AR 71654
Phone: (870) 222-3107
NPI assigned: Jul 28, 2006
Sex: Female
Sole proprietor: No

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.

Delta Counseling Associates Inc Community/Behavioral Health Agency · Monticello, AR · NPI 1053364612

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1672C	AR	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Delta Counseling Associates Inc		Past since Oct 1, 2016	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	1672C	AR	Yes

Addresses

Primary practice location

2410 Hwy 65 N
Deeta Counseling Associates Inc
McGehee, AR 71654

Mailing address

PO Box 34
Saint Charles, AR 72140-0034
Phone (870) 282-3113

Other identifiers

Identifier	Type	State	Issuer
50088	Other	AR	BCBS

Other providers in McGehee, AR

All providers in McGehee, AR · Clinical Social Worker in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.