Long, Lindsay M

Long, Lindsay M is an individual health care provider with primary practice located at 1415 S Hwy 89 , Jackson WY 83001. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Long, Lindsay M can be contacted via phone (307) 739-8999.

Contact Information

Primary practice address
1415 S Hwy 89 Jackson WY 83001
Phone: (307) 739-8999
Fax: (307) 739-9222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW-951 Wyoming
Other Service Providers / Case Manager/Care Coordinator 171M00000X Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-951 Wyoming

Profile Details

NPI number 1780011551
LBN Legal business name Long, Lindsay M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2013
Last updated Feb 15th, 2021 - about 4 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 1780011551 NPPES
Wyoming MEDICAID 136295001

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