Debra Moffat Longo, L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063769 Issued in MI

Practice address

3300 Washtenaw Ave Ste 222
Ann Arbor, MI 48104-4261

Phone

(734) 203-0183

Fax

(734) 203-7816

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deepwater Counseling, PLLC

  • Professional Counselor
  • Ypsilanti, MI
  • NPI 1639600687
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1942218698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 JENNINGS RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 222",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044261",
            "telephone_number": "734-203-0183",
            "fax_number": "734-203-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "DEBRA",
        "middle_name": "MOFFAT",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Long
• Sheena Long, PT, DPT, ATC
• Taleen Anoush Long, PA-C
• William Bryan Long, CRNA
• Wendolyn Racquel Longmire, R.N. B.S.N.
• Kathleen Marie Longo, MD, MPH
• Linda Longshaw, RN
• Kimberly Longsworth
• Karen G. Loniewski, CRNA
• Carissa Loof

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.