Amy Lynn Long, LCSW
Individual provider Active NPI Clinical Social Worker · Bunnell, FL
NPI 1710749700 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1710749700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW22651 (FL)
- Practice address
- 301 Justice LN
Bunnell, FL 32110-4487 - Phone
- (386) 236-3126
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| SW22651 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sma Healthcare Inc | Past | Accepting new patients |
Interoperability endpoints
- amy.long.p1@direct.smahealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW22651 | FL | Yes |
Addresses
Primary practice location
301 Justice LN
Bunnell, FL 32110-4487
Mailing address
301 Justice LN
Bunnell, FL 32110-4487
Phone (386) 236-3126
Other providers in Bunnell, FL
- JSC Pedorthics Inc.
- Betty Kachnycz
- Kazaam Services LLC
- Lancaster Home Care Services LLC
- Light Works Wellness Centre
- Kathryn A Lopez
- Dawn Lord
- Jessie Dolores Love-Belle
- Melissa Lowe
- Elizabeth Lukasiewicz
All providers in Bunnell, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. 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.