1114979986 NPI number — MR. TIMOTHY RICHARD LONG LICSW

Table of content: MR. TIMOTHY RICHARD LONG LICSW (NPI 1114979986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114979986 NPI number — MR. TIMOTHY RICHARD LONG LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LONG
Provider First Name:
TIMOTHY
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114979986
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 DRAPER AVE
Provider Second Line Business Mailing Address:
C/O CHILD INC.
Provider Business Mailing Address City Name:
WARWICK
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02889-5047
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-732-5200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
160 DRAPER AVE
Provider Second Line Business Practice Location Address:
C/O CHILD INC.
Provider Business Practice Location Address City Name:
WARWICK
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02889-5047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-732-5200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  ISW01394 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 1024584 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 29583 . This is a "BLUE CROSS COMMERCIAL" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: TL43466 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 412638 . This is a "BLUE CROSS BLUE CHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".