Individual provider Active NPI

Christy Long, LCSW, SUDC

  • Clinical Social Worker
  • Provo, UT
National Provider Identifier
1902228232
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9045497-3501 Issued in UT
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

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 9045497-3501 UT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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, ID2 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
I20241003002390 UT Practitioner - Clinical Social Worker 2961933734 Reassigns benefits to 1 organization
I20250908001684 ID Practitioner - Clinical Social Worker 2961933734 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2061976IDMDClinical Social Worker
9045497-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Best Chance Counseling, PLLC Clinical CurrentSince Apr 14, 2025 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

Verify at the official NPI Registry.