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
Phone: (813) 635-6100
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982991469 | NPPES |
Florida | Other | Z02Z3 | BCBS OF FLORIDA |
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