Active NPI
Michell Lyn Long, LSW
- Social Worker
- Youngstown, OH
National Provider Identifier
1861628869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0031169
- Practice address
- 611 Belmont Ave
Youngstown, OH 44502-1037 - Phone
- (330) 744-2991
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | S0031169 | OH | Primary |
Addresses
Primary practice location
611 Belmont Ave
Youngstown, OH 44502-1037
Mailing address
6461 Saint Andrews Dr Unit 4
Canfield, OH 44406-8079
Phone (330) 506-0227
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0031169 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1861628869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6461 SAINT ANDREWS DR UNIT 4",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068079",
"telephone_number": "330-506-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 BELMONT AVE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445021037",
"telephone_number": "330-744-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "MICHELL",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0031169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.