Active NPI
Talya Shvonne Long
- Social Worker
- Litchfield Park, AZ
National Provider Identifier
1801395272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 12446 W Solano Dr
Litchfield Park, AZ 85340-3487 - Phone
- (480) 319-1966
- Fax
- (602) 279-1431
- NPI assigned
- Feb 12, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
12446 W Solano Dr
Litchfield Park, AZ 85340-3487
Mailing address
PO Box 16906
Phoenix, AZ 85011-6906
Phone (602) 279-1427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9080158 | Other | AZ | DCS/OLR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1801395272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16906",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850116906",
"telephone_number": "602-279-1427",
"fax_number": "602-279-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12446 W SOLANO DR",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853403487",
"telephone_number": "480-319-1966",
"fax_number": "602-279-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "TALYA",
"middle_name": "SHVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCS/OLR",
"identifier": "9080158",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.