1245319672 NPI number — MS. LORNA A LONG M.S.,L.C.S.W.

Table of content: MS. LORNA A LONG M.S.,L.C.S.W. (NPI 1245319672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245319672 NPI number — MS. LORNA A LONG M.S.,L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LONG
Provider First Name:
LORNA
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.,L.C.S.W.
Provider Gender Code:
F

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:
1245319672
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 12TH ST
Provider Second Line Business Mailing Address:
SUITE 222
Provider Business Mailing Address City Name:
WHEELING
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26003-3279
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-232-4688
Provider Business Mailing Address Fax Number:
304-232-4682

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 12TH ST
Provider Second Line Business Practice Location Address:
SUITE 222
Provider Business Practice Location Address City Name:
WHEELING
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26003-3279
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-232-4688
Provider Business Practice Location Address Fax Number:
304-232-4682
Provider Enumeration Date:
11/05/2006

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: 104100000X , with the licence number:  CPOO812202 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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