Angela Dale Long, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

980 Issued in NH

Practice address

1 Trafalgar SQ Ste 204
Nashua, NH 03063-1998

Phone

(603) 577-5517

Fax

(603) 402-3551

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Counseling Center of Nashua Inc

  dba LifeStance Health

  • Clinical Psychologist
  • Nashua, NH
  • NPI 1144275389
  Medicare reassignment Care Compare group NPD
• Charlene Curtis, LLC Licsw

  • Clinical Social Worker
  • Milford, NH
  • NPI 1205042421
  NPD (past)
• Southern NH Speech-Language & Reading Services, LLC

  • Speech-Language Pathologist
  • Nashua, NH
  • NPI 1578872412
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1699826412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRAFALGAR SQ STE 204",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631998",
            "telephone_number": "603-577-5517",
            "fax_number": "603-402-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRAFALGAR SQ STE 204",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631998",
            "telephone_number": "603-577-5517",
            "fax_number": "603-402-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANGELA",
        "middle_name": "DALE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "51-0566390",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "385828",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "51-0566390-01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424141",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14Y001084NH03",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise M. Loiselle, NP
• Taylor Loiselle, BCBA
• Caroline Lombardi, DPT
• Laura Lombardi, LICSW
• Alexandria Ann Long
• Cherylle A Long
• Hannah Long, BS
• Look Back Rejuvenation, LLC.
• Kelsey Loparto, BA
• Rashmi Lopchan

• Clinical Social Worker in Nashua, NH
• Providers in Nashua, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.