Individual provider Active NPI

Sheila Ann Long, LISW

  • Clinical Social Worker
  • Iowa City, IA
National Provider Identifier
1861165730
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108042 Issued in IA
Practice address
12 Green Mountain Dr Apt 7
Iowa City, IA 52245-3814
Phone
(319) 321-4564
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 108042 IA Primary

Addresses

Primary practice location

12 Green Mountain Dr Apt 7
Iowa City, IA 52245-3814

Mailing address

12 Green Mountain Dr Apt 7
Iowa City, IA 52245-3814
Phone (319) 321-4564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250116001249 IA Practitioner - Clinical Social Worker 1355879461 Reassigns benefits to 1 organization
I20251009004174 FL Practitioner - Clinical Social Worker 1355879461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

1101 66TH St N
St Petersburg, FL 33710-6200
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Memory Health, Inc. CurrentSince Sep 2, 2025 Accepting new patients
S Ann Long Trauma Therapist Collective PLC Clinical CurrentSince Dec 8, 2024 Accepting new patients

Locations

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1861165730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREEN MOUNTAIN DR APT 7",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453814",
            "telephone_number": "319-321-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREEN MOUNTAIN DR APT 7",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453814",
            "telephone_number": "319-321-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "108042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.