Sally Longstreth Fluck, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0009925 Issued in OH

Practice address

49 E Glenwood Ave
Akron, OH 44304-1137

Phone

(330) 535-8116

Fax

(330) 258-0199

NPI assigned

Feb 28, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Oriana House, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Akron, OH
  • NPI 1730127176
  NPD (past)
• Oriana House, Inc.

  • Community/Behavioral Health Agency
  • Marietta, OH
  • NPI 1790249431
  NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1801336698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E WAYNE AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912379",
            "telephone_number": "330-996-2222",
            "fax_number": "330-258-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E GLENWOOD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041137",
            "telephone_number": "330-535-8116",
            "fax_number": "330-258-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSTRETH FLUCK",
        "first_name": "SALLY",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0009925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan C. Long, CNP
• Rmoni Long
• John Richard Longenecker, MSN, RN, AGACNP-BC
• Christopher Longinow
• Paula Sue Longshore, RN
• Brian T Longworth, D.C.
• William Kevin Lonsdorf, MD
• Aidee Lookabaugh
• Ashiya Loomba, MD
• Stephanie Nicole Looney Brown

• Clinical Social Worker in Akron, OH
• Providers in Akron, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.

Verify at the official NPI Registry.