Long, Shelly

Long, Shelly is an individual health care provider with primary practice located at 1019 E Water St , Elmira NY 14901-3332. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Long, Shelly can be contacted via phone (607) 733-5696.

Contact Information

Primary practice address
1019 E Water St Elmira NY 14901-3332
Phone: (607) 733-5696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 00074730 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 077531-1 New York

Profile Details

NPI number 1386833275
LBN Legal business name Long, Shelly
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Dec 23rd, 2014 - about 10 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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