Individual provider · Type 1 NPI

Timothy Richard Long, LICSW

Clinical Social Worker · Warwick, RI

NPI number 1114979986 Active

Practice location

160 Draper Ave, C/o Child Inc.
Warwick, RI 02889-5047

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW01394 (RI)
Clinical Social Worker 1041C0700X1024584 (MA)

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 1114979986

Timothy Richard Long, LICSW's National Provider Identifier is 1114979986, issued on May 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Warwick, RI. The record was last updated on Nov 9, 2007.