Individual provider · Type 1 NPI

Jeannie Long, LCSW

Clinical Social Worker · Overland Park, KS

NPI number 1073890786 Active

Practice location

5808 W 110th St
Overland Park, KS 66211-2504

Mailing address

2401 Gillham Rd, Provider Enrollment
Kansas City, MO 64108-4619

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1309 (KS)
Clinical Social Worker 1041C0700X2009025845 (MO)

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 1073890786

Jeannie Long, LCSW's National Provider Identifier is 1073890786, issued on Nov 9, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Overland Park, KS. The record was last updated on Sep 19, 2016.