Long, Danielle
Long, Danielle is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Long, Danielle can be contacted via phone (831) 454-4546.Contact Information
Primary practice address
1400 Emeline Ave
Santa Cruz CA 95060-1976
Phone: (831) 454-4546
Fax: (831) 454-4484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ASW12323 | California |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ASW12323 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 84763 | California |
Profile Details
| NPI number | 1326242033 |
|---|---|
| LBN Legal business name | Long, Danielle |
| Credentials | ASW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Sep 14th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326242033 | NPPES |
| California | Other | FHC 70042F | SANTA CRUZ COUNTY CA MEDI-CAL SITE PROVIDER NUMBERS |
| California | Other | ZZZ91892Z | SANTA CRUZ COUNTY CA MEDI-CAL SITE PROVIDER NUMBERS |
| California | Other | ZZZ92069Z | SANTA CRUZ COUNTY CA MEDI-CAL SITE PROVIDER NUMBERS |
| California | Other | FHC 70044F | SANTA CRUZ COUNTY CA MEDI-CAL SITE PROVIDER NUMBERS |
| California | Other | ZZZ91891Z | SANTA CRUZ COUNTY CA MEDI-CAL SITE PROVIDER NUMBERS |
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