Long, Rodney

Long, Rodney is an sole proprietor health care provider with primary practice located at 10 W Streetsboro St Ste 105 , Hudson OH 44236-2851. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Long, Rodney can be contacted via phone (330) 510-1388.

Contact Information

Primary practice address
10 W Streetsboro St Ste 105 Hudson OH 44236-2851
Phone: (330) 510-1388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1302449 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.1302449 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2102842-SUPV Ohio

Profile Details

NPI number 1396109401
LBN Legal business name Long, Rodney
Credentials MSSA, LISW-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2016
Last updated May 26th, 2022 - about 2 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 1396109401 NPPES
Ohio Other 1396109401 NPI
Ohio MEDICAID 027471 NPI

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