Andrea Long

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4161 Carmichael Ave
3300 Building, Suite 150
Jacksonville, FL 32207-2353

Phone

(904) 396-8750

NPI assigned

Jul 5, 2011

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1821385303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 CARMICHAEL AVE",
            "address_2": "3300 BUILDING, SUITE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072353",
            "telephone_number": "904-396-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 CARMICHAEL AVE",
            "address_2": "3300 BUILDING, SUITE 150",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072353",
            "telephone_number": "904-396-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn London
• Morgan Z London, LMHC
• Theresa L London, RN
• Caitlin Marie Lonergan
• Ajasha Maxine Long, PHD
• Ashley Renee Long
• Brittany O'Neal Long
• Evonne Marie Long, AUD
• Gary Long, PA
• Jennifer D Long, LMHC, MCAP

• Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.