Dr Jack Martin Long, PHD | |
720c Maiden Choice Ln, Catonsville, MD 21228-5940 | |
(410) 744-5499 | |
(410) 455-0894 |
Full Name | Dr Jack Martin Long |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 43 Years |
Location | 720c Maiden Choice Ln, Catonsville, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447296629 | NPI | - | NPPES |
755011100 | Medicaid | MD | |
R7610001 | Other | MD | BC/BS FEDERAL |
Q292JM | Other | MD | BLUE CROSS/ BLUE SHIELD |
R7610001 | Other | MD | BLUE CHOICE |
276629 | Other | MD | MAMSI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 03068 (Maryland) | Primary |
Entity Name | Dr. Jack M. Long & Assoc., P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144599572 PECOS PAC ID: 6709050099 Enrollment ID: O20111123000244 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Martin Long, PHD 720 Maiden Choice Ln, Suite C, Catonsville, MD 21228-5940 Ph: (410) 744-5499 | Dr Jack Martin Long, PHD 720c Maiden Choice Ln, Catonsville, MD 21228-5940 Ph: (410) 744-5499 |
Ms. Joyce Ann Mccauley, MSW LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 W Rolling Crossroads, Catonsville, MD 21228 Phone: 410-719-0086 Fax: 410-744-2321 | |
Mr. Joseph Zappala, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 508 Frederick Rd, Catonsville, MD 21228 Phone: 240-645-8575 | |
Barbara Ellen Lazar, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 606 Marianne Ln, Catonsville, MD 21228 Phone: 410-750-1245 | |
Ms. Erin M Simmons, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6203 Frederick Rd, Catonsville, MD 21228 Phone: 410-952-6889 | |
Kathleen Kern, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 516 N Rolling Rd Ste 305, Catonsville, MD 21228 Phone: 410-572-7981 | |
Rebecca Statman, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 Wade Ave, Treatment Research Unit - Tawes A, Catonsville, MD 21228 Phone: 410-402-6875 | |
Ms. Jennifer Katzen Mansir, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 Greenlow Rd, Catonsville, MD 21228 Phone: 443-851-0366 |