Individual provider Active NPI

Katie Guerry Long, LCSWA

  • Clinical Social Worker
  • Rockingham, NC
National Provider Identifier
1700494440
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016933 Issued in NC
Practice address
232 E Franklin St
Rockingham, NC 28379-3627
Phone
(910) 817-7417
Fax
(910) 817-7218
NPI assigned
Jul 20, 2020
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 C016933 NC Primary

Addresses

Primary practice location

232 E Franklin St
Rockingham, NC 28379-3627

Mailing address

523 Rockingham Rd
Rockingham, NC 28379-3615
Phone (910) 562-9882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240409001205 NC Practitioner - Clinical Social Worker 7810335965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Greater Vision Counseling and Consulting Agency PLLCGroup PAC ID 5698049476, 6 clinicians
Carolina's Medical and Wellness ClinicGroup PAC ID 3678007093, 8 clinicians

Practice addresses (Care Compare)

402 Harris Ave
Raeford, NC 28376-3112
Phone (910) 875-5590

821 A S Main St
Laurinburg, NC 28352-4724
Phone (910) 506-8474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina's Medical & Wellness Clinic Mental Health CurrentSince Sep 18, 2025 Accepting new patients
Sandhills Behavioral Care, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Greater Vision Counseling & Consulting Agency PLLC Clinical CurrentSince Mar 6, 2024 Accepting new patients
Carolina's Medical & Wellness Clinic CurrentSince Sep 18, 2025 Accepting new patients
Sandhills Behavioral Care, PLLC PastSince Sep 1, 2022 Accepting new patients

Locations

821 S Main St
#A
Laurinburg, NC 28352
Phone (910) 506-8474

402 Harris Ave
Raeford, NC 28376
Phone (910) 848-1638

232 E Franklin St
Rockingham, NC 28379
Phone (910) 817-7417

523 Rockingham Rd
Rockingham, NC 28379
Phone (828) 360-4600

Organizations & group practices 5

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1700494440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 ROCKINGHAM RD",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793615",
            "telephone_number": "910-562-9882",
            "fax_number": "910-562-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E FRANKLIN ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793627",
            "telephone_number": "910-817-7417",
            "fax_number": "910-817-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "KATIE",
        "middle_name": "GUERRY",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.