Joan B Long, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52016 Issued in TX

Practice address

100 W Dean Keeton St FL 5
Austin, TX 78712-1091

Phone

(512) 471-3515

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 13, 2023 through Mar 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1679905053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W DEAN KEETON ST FL 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121091",
            "telephone_number": "512-471-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W DEAN KEETON ST FL 5",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121091",
            "telephone_number": "512-471-3515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011111",
            "country_code": "US",
            "telephone_number": "512-350-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "JOAN",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billie Jo Long, NP-C
• Christine L. Long, FNP
• Elizabeth Ann Long, D.D.S.
• Helen Fredericka Long
• Hunter Reitzell Long, BCBA
• Juliana Long, LPC
• Kelsey Long, BCBA
• Leslie Long, RD
• Riley Long, FNP-C
• Samuel Everette Long III, M.D.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.

Verify at the official NPI Registry.