Individual provider · Type 1 NPI
Jack Martin Long, PhD
Clinical Social Worker · Catonsville, MD
Practice location
720C Maiden Choice Ln
Catonsville, MD 21228-5940
Fax (410) 455-0894
Mailing address
720 Maiden Choice Ln, Suite C
Catonsville, MD 21228-5940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 03068 (MD) |
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…
Another provider at this address
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About NPI 1447296629
Jack Martin Long, PhD's National Provider Identifier is 1447296629, issued on Jun 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Catonsville, MD. The record was last updated on Dec 12, 2011.