Delong, Elizabeth

Delong, Elizabeth is an sole proprietor health care provider with primary practice located at 23836 Sw Fox Run Pl. , Sherwood OR 97140. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Delong, Elizabeth can be contacted via phone (503) 521-6122.

Contact Information

Primary practice address
23836 Sw Fox Run Pl. Sherwood OR 97140
Phone: (503) 521-6122
Fax: (503) 397-5373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X L3196 Oregon
Behavioral Health & Social Service Providers / Social Worker 104100000X L3196 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X L3196 Oregon

Profile Details

NPI number 1962620625
LBN Legal business name Delong, Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jun 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962620625 NPPES
Oregon MEDICAID 123190

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