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Contact Information

JENIFER LONG, LCSW
1301 PLANTATION ISLAND DRIVE SOUTH
SUITE 201A
SAINT AUGUSTINE, FL32080
 Phone: 904-770-7685
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JENIFER LONG · (Female)

NPI # 1437605177
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # SW13814
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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