Active NPI
Sarah E Long, MSW, LSCW
- Clinical Social Worker
- Niles, MI
National Provider Identifier
1740936574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 121 S Saint Joseph Ave
Niles, MI 49120-2848 - Phone
- (574) 334-9594
- NPI assigned
- Mar 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
121 S Saint Joseph Ave
Niles, MI 49120-2848
Mailing address
121 S Saint Joseph Ave
Niles, MI 49120-2848
Phone (574) 334-9594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Pointe LLC | Current | Accepting new patients | |
| Longevity Counseling Services, LLC | Clinical | Current | Accepting new patients |
Locations
113 Lincolnway E
Mishawaka, IN 46544
Phone (574) 255-4976
3130 S 11th St
Niles, MI 49120
Phone (269) 635-2396
Interoperability endpoints
- https://api.platform.athenahealth.com/24035/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Niles, MI
- NPI 1184499394
-
- Community/Behavioral Health Agency
- Mishawaka, IN
- NPI 1861087355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1740936574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S SAINT JOSEPH AVE",
"city": "NILES",
"state": "MI",
"postal_code": "491202848",
"telephone_number": "574-334-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S SAINT JOSEPH AVE",
"city": "NILES",
"state": "MI",
"postal_code": "491202848",
"telephone_number": "574-334-9594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "SARAH",
"middle_name": "E",
"credential": "MSW, LSCW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-02",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.