Individual provider · Type 1 NPI

Jonathan Braxton Long, LCSW-A

Clinical Social Worker · Concord, NC

NPI number 1053047753 Active

Practice location

280 Executive Park Dr Ste 100
Concord, NC 28025-1838

Call (980) 237-4766 Map

Mailing address

4429 Iyar Way
Wake Forest, NC 27587-4167

Other practice locations

  • 4429 Iyar Way, Wake Forest, NC 27587-4167 · (252) 532-1320
  • 8362 Six Forks Rd Ste 104, Raleigh, NC 27615-5086 · (919) 709-7307

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016657 (NC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1053047753

Jonathan Braxton Long, LCSW-A's National Provider Identifier is 1053047753, issued on Jul 26, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, NC. The record was last updated on Jul 26, 2022.