Individual provider · Type 1 NPI

Michel Larayne Long, LCSW

Clinical Social Worker · Hurlburt Field, FL

NPI number 1083040489 Active

Practice location

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613

Call (850) 461-5651 Map

Mailing address

5345 Woodlake Trce
Gulf Breeze, FL 32563-9592

Other practice locations

  • 1640 Rivendell St, Junction City, KS 66441-4844 · (417) 655-2597

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X8771 (KS)
Clinical Social Worker 1041C0700XSW13798 (FL)
Clinical Social Worker Primary 1041C0700X2015040067 (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 1083040489

Michel Larayne Long, LCSW's National Provider Identifier is 1083040489, issued on Sep 18, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hurlburt Field, FL. The record was last updated on May 31, 2022.