Individual provider · Type 1 NPI

Kelly Anne Long

Clinical Social Worker · Bloomington, IL

NPI number 1154423937 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Call (309) 827-5351 Map

Fax (309) 829-6808

Mailing address

913 Chippewa St
Normal, IL 61761-5758

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149027456 (IL)

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 1154423937

Kelly Anne Long's National Provider Identifier is 1154423937, issued on Sep 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomington, IL. The record was last updated on Mar 18, 2025.