Active NPI
Christy Long, LCSW, SUDC
- Clinical Social Worker
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9045497-3501
- Practice address
- 3651 N 100 E Ste 350
Provo, UT 84604-4567 - Phone
- (208) 258-5460
- Fax
- (417) 794-1186
- NPI assigned
- Jan 6, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9045497-3501 | UT | Primary |
| Clinical Social Worker | 1041C0700X | 2061976 | ID |
Addresses
Primary practice location
3651 N 100 E Ste 350
Provo, UT 84604-4567
Mailing address
3651 N 100 E Ste 350
Provo, UT 84604-4567
Phone (208) 258-5460
Other practice location 1
2995 N Cole Rd Ste 225
Boise, ID 83704-5966
Phone (208) 258-5460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2700 E Overland Rd
Apt G305
Meridian, ID 83642-8974
2995 N Cole Rd
Suite 225
Boise, ID 83704-5966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2061976 | ID | MD | Clinical Social Worker |
| 9045497-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Chance Counseling, PLLC | Clinical | Current | Accepting new patients |
Locations
2995 N Cole Rd
Ste 225
Boise, ID 83704
Phone (208) 258-5460
3651 N 100 E
Ste 350
Provo, UT 84604
Phone (208) 258-5460
Organizations & group practices 1
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": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1902228232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 N 100 E STE 350",
"city": "PROVO",
"state": "UT",
"postal_code": "846044567",
"telephone_number": "208-258-5460",
"fax_number": "417-794-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 N 100 E STE 350",
"city": "PROVO",
"state": "UT",
"postal_code": "846044567",
"telephone_number": "208-258-5460",
"fax_number": "417-794-1186"
}
],
"practiceLocations": [
{
"address_1": "2995 N Cole Rd Ste 225",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837045966",
"country_code": "US",
"telephone_number": "208-258-5460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONG",
"first_name": "CHRISTY",
"credential": "LCSW, SUDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-06",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "9045497-3501",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "2061976",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.