Lindsay M Long, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-951 Issued in WY

Practice address

1415 S Hwy 89
Jackson, WY 83001

Phone

(307) 739-8999

Fax

(307) 739-9222

NPI assigned

Oct 10, 2013

Last updated

Feb 15, 2021By 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 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Merit-based Incentive Payment System (MIPS)

Final score

81.82 of 100Reported as group

Quality

67.1

Promoting interoperability

98

Improvement activities

40

Cost

73.98

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.

• Teton County Hospital District

  dba St John's Health

  • General Practice Physician
  • Jackson, WY
  • NPI 1487818605
  Medicare reassignment NPD
• Teton County Hospital District

  dba St Johns Medical Center Physician Services

  • General Practice Physician
  • Jackson, WY
  • NPI 1457665333
  NPD

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1780011551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E BROADWAY AVE BOX 428",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010428",
            "telephone_number": "307-733-3636",
            "fax_number": "888-329-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S HWY 89",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "307-739-8999",
            "fax_number": "307-739-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5235 Hhr Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "WY",
            "postal_code": "830149210",
            "country_code": "US",
            "telephone_number": "307-739-7595",
            "fax_number": "307-734-0734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 E Broadway Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018640",
            "country_code": "US",
            "telephone_number": "307-733-7222",
            "fax_number": "307-733-9720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 E Broadway Ave Ste 229",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018640",
            "country_code": "US",
            "telephone_number": "307-739-7690",
            "fax_number": "307-739-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "LINDSAY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WY",
            "license": "LCSW-951",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-951",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136295001",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llong@sjmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address for St John's Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1415 S Hwy 89",
            "city": "Jackson",
            "state": "WY",
            "country_code": "US",
            "postal_code": "83001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• LJC,Inc Dba Stone Drug
• Maura J. Lofaro, MD, FACOG
• Maria E Lofgren, P.T.
• Elizabeth E Logan, O.T.R. C.H.T.
• Kathleen M Logan, M.D.
• Rachel Long, PCSW
• Jamie Loomis
• Antuanett Lopez Sani, MA, LPC
• Stephen Stuart Lottridge, PSY.D.
• Malaika Louden, PA-C

• Clinical Social Worker in Jackson, WY
• Providers in Jackson, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.