Shae Lynn Long, LCSW

Individual provider Active NPI Clinical Social Worker · Minot, ME

NPI 1851915532 · NPPES record last updated Jan 16, 2025

Key facts

NPI
1851915532
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LC19812 (ME)
Practice address
130 E Oxford Rd
Minot, ME 04258-5452
Phone
(207) 513-2288
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LC19812MEMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC19812 ME Yes

Addresses

Primary practice location

130 E Oxford Rd
Minot, ME 04258-5452

Mailing address

130 E Oxford Rd
Minot, ME 04258-5452
Phone (207) 513-2288

Other names

  • Shae Lynn Morin Former name

Other providers in Minot, ME

All providers in Minot, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.