Individual provider Active NPI

Jessica Sue Long, MSW

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1801463682
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
510 North St
Pittsfield, MA 01201-5493
Phone
(413) 447-2315
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

510 North St
Pittsfield, MA 01201-5493

Mailing address

444 Stockbridge Rd
Great Barrington, MA 01230-1295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20211129002464 MA Practitioner - Clinical Social Worker 4284024621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Amherst Psychotherapy Practice PCGroup PAC ID 6901231018, 24 clinicians

Practice addresses (Care Compare)

48 N Pleasant St
Suite 207
Amherst, MA 01002-1758
Phone (413) 200-8024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
227030MAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Amherst Psychotherapy Practice PC Clinical CurrentSince Mar 14, 2024 Accepting new patients
Community Health Programs, Inc. CurrentSince Sep 1, 2021 Accepting new patients

Locations

48 N Pleasant St
Ste 207
Amherst, MA 01002
Phone (413) 200-8024

444 Stockbridge Rd
Gt Barrington, MA 01230
Phone (413) 528-8580

4 Bay Rd
Hadley, MA 01035
Phone (413) 200-8024

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1801463682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 STOCKBRIDGE RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015493",
            "telephone_number": "413-447-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.