Kristen De Long

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801116655 Issued in MI

Practice address

504 E 4TH St
Royal Oak, MI 48067-2847

Phone

(248) 629-0285

NPI assigned

May 25, 2016

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Belong Therapy Co

  • Clinical Social Worker
  • Birmingham, MI
  • NPI 1700565074
  NPD Authorized official

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1730537341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM ST STE 209",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096323",
            "telephone_number": "248-629-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E 4TH ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672847",
            "telephone_number": "248-629-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LONG",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Thomas Physical Therapy PLLC
• Kelly Jane Daws, M.D.
• Daylily Health LLC
• DCP of Michigan (Troy), P.C. (DentalWorks of Royal Oak)
• Sean Joseph De Four, M.S.W., L.M.S.W.
• Leticia De Mattei, M.D.
• Paulo Vinicius De Oliveira, OTRL
• Imelda E De Vera, D.O.
• Larissa Dean, MD
• Rachel Dearden, MD

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.