Mr Brad Long, CSW is a
Social Worker - Clinical based in Providence, Kentucky. Mr Brad Long is licensed to practice in Kentucky (license number ) and his current practice location is
215 E Main St, Providence, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 667-7017.
NPI number for Mr Brad Long is 1750660023 and his current mailing address is Po Box 37, Providence, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750660023.
Healthcare Provider's Profile
| Full Name | Mr Brad Long |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 215 E Main St, Providence, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1750660023
- Provider Enumeration Date: 08/04/2011
- Last Update Date: 12/08/2017
Medical Identifiers
Medical identifiers for Mr Brad Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750660023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brad Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Brad Long, CSW
Po Box 37,
Providence, KY 42450-0037
Ph: (270) 667-7017 | Mr Brad Long, CSW
215 E Main St,
Providence, KY 42450-1261
Ph: (270) 667-7017 |
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