Phillip Everett Long, LSW, MSW, MPA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020765 Issued in PA

Practice address

1056 Route 390
Cresco, PA 18326-7908

Phone

(570) 807-5534

NPI assigned

Sep 27, 2013

Last updated

Apr 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ahu Counseling Services LLC

  • Clinical Social Worker
  • Cresco, PA
  • NPI 1497544993
  NPD (past) Authorized official

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1770910374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ESCOLL DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019363",
            "telephone_number": "570-807-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 ROUTE 390",
            "city": "CRESCO",
            "state": "PA",
            "postal_code": "183267908",
            "telephone_number": "570-807-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2557 route 940",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Pocono Summit",
            "state": "PA",
            "postal_code": "18344",
            "country_code": "US",
            "telephone_number": "570-992-9143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "PHILLIP",
        "middle_name": "EVERETT",
        "name_prefix": "Mr.",
        "credential": "LSW, MSW, MPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Gorman, D.C.
• Michelle Grassie
• Maranda Leigh Hammerstone, LCSW
• Nelda Renee Hampton
• Michael N. Kessler, M.D., M.A.
• Cheryl Ann Lynott, M.S./ CCC-SLP
• Debra Sarch Matrick, MSW, LCSW, DCSW
• Alexis Love Monge
• Mountainhome Counseling Center
• Alicia Nothstein

• Clinical Social Worker in Cresco, PA
• Providers in Cresco, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.