Long, Christopher J

Long, Christopher J is an sole proprietor health care provider with primary practice located at 1211 Tech Blvd Ste 145 , Tampa FL 33619-7845. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Long, Christopher J can be contacted via phone (813) 635-6100.

Contact Information

Primary practice address
1211 Tech Blvd Ste 145 Tampa FL 33619-7845
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 993601 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW8918 Florida

Profile Details

NPI number 1982991469
LBN Legal business name Long, Christopher J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2011
Last updated Jul 19th, 2023 - about last year

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 1982991469 NPPES
Florida Other Z02Z3 BCBS OF FLORIDA

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