Jody G Long is a Clinical in Memphis, Tennessee. Jody G Long practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jody G Long is 1548228307. The last update date is 2007-07-08.
Jody G Long's current location address is 135 N Pauline St, Memphis, Tennessee. You can contact this provider via phone number 9014488258 and fax number 9014482451. The mailing address for Jody G Long is 135 N Pauline St, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody G Long |
|---|---|
| Address | 135 N Pauline St, Memphis, Tennessee |
| Phone Number | 9014488258 |
| Fax Number | 9014482451 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1548228307 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 135 N Pauline St |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381054619 |
| Phone Number | 9014488258 |
| Fax Number | 9014482451 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3638 |
|
Definition: 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, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3920189 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jody G Long by the Centers for Medicare & Medicaid Services?
The Jody G Long has been issued the NPI (National Provider Identifier) 1548228307, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jody G Long is physically located?
The Jody G Long is physically situated at the following address: 135 N Pauline St, Memphis, TN, 381054619.
What is the Jody G Long's area of specialization and corresponding taxonomy classification?
The Jody G Long's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jody G Long receive the assignment of its 1548228307 from the Centers for Medicare & Medicaid Services?
The Jody G Long was issued its 1548228307 by the Centers for Medicare & Medicaid Services on 2006-05-02.
When was the information regarding Jody G Long most recently updated?
The details pertaining to the Jody G Long, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY