Active NPI
Tiffany McGinnis Long, LCSW
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1649501883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C006694
- Practice address
- 332 S York St
Gastonia, NC 28052-4052 - Phone
- (704) 674-7290
- Fax
- (704) 396-6547
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C006694 | NC | |
| Clinical Social Worker | 1041C0700X | C006694 | NC | Primary |
Addresses
Primary practice location
332 S York St
Gastonia, NC 28052-4052
Mailing address
332 S York St
Gastonia, NC 28052-4052
Phone (704) 674-7290
Other practice location 1
441 River Park Road
Belmont, NC 28012-2994
Phone (704) 280-6772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 19, 2026 through May 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006694 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Wellness Solutions Counseling and Consulting PLLC | Professional | 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.
-
- Professional Counselor
- Belmont, NC
- NPI 1699340844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1649501883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 S YORK ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524052",
"telephone_number": "704-674-7290",
"fax_number": "704-396-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "332 S YORK ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524052",
"telephone_number": "704-674-7290",
"fax_number": "704-396-6547"
}
],
"practiceLocations": [
{
"address_1": "441 River Park Road",
"address_purpose": "LOCATION",
"city": "Belmont",
"state": "NC",
"postal_code": "280122994",
"country_code": "US",
"telephone_number": "704-280-6772",
"fax_number": "704-864-9791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "TIFFANY",
"middle_name": "MCGINNIS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "C006694",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.