Donna Marie Long, LICSW MASSACHUSETTS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113494 Issued in MA

Practice address

17 Robert St
Lee, MA 01238

Phone

(413) 243-0580

NPI assigned

Sep 7, 2007

Last updated

Sep 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1952596488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012380167",
            "telephone_number": "413-243-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ROBERT ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "01238",
            "telephone_number": "413-243-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LICSW MASSACHUSETTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "113494",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Public Schools
• Lee Regional Visiting Nurse Association, Inc
• Lee Regional Visiting Nurse Association, Inc. (Porchlight VNA)
• Melanie R Levitan, MD
• Francine M Licata
• Shelby Love-Daley
• Brett Michael Magit, LICSW, LCSW
• Samantha Maher, FNP-BC
• Christina P Marks, LICSW
• Kate Maroney

• Clinical Social Worker in Lee, MA
• Providers in Lee, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.