Individual provider · Type 1 NPI

Shane Patrick Long, M.A.

Clinical Social Worker · Clackamas, OR

NPI number 1275640831 Active

Practice location

Kaiser Sunnyside Medical Office, 10180 SE Sunnyside Rd
Clackamas, OR 97015-9764

Mailing address

10180 SE Sunnyside Road
Clackamas, OR 97015-9303

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3249 (OR)

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 1275640831

Shane Patrick Long, M.A.'s National Provider Identifier is 1275640831, issued on Aug 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clackamas, OR. The record was last updated on Mar 6, 2022.