Mr Willard Truman Long Jr, MSW LGSW LCSWA is a
Social Worker - Clinical based in Montgomery, West Virginia. Mr Willard Truman Long Jr is licensed to practice in North Carolina (license number P013072) and his current practice location is
410 Ferry St, Montgomery, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 553-6218.
NPI number for Mr Willard Truman Long Jr is 1902350275 and his current mailing address is 7410 Chickadee Ct, Sanford, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902350275.
Healthcare Provider's Profile
Full Name | Mr Willard Truman Long Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 410 Ferry St, Montgomery, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902350275
- Provider Enumeration Date: 08/04/2016
- Last Update Date: 03/12/2020
Medical Identifiers
Medical identifiers for Mr Willard Truman Long Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902350275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | BP02940160 (West Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | P013072 (North Carolina) | 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 Willard Truman Long Jr 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 Willard Truman Long Jr, MSW LGSW LCSWA 7410 Chickadee Ct, Sanford, NC 27332-8810 Ph: (910) 824-0608 | Mr Willard Truman Long Jr, MSW LGSW LCSWA 410 Ferry St, Montgomery, WV 25136 Ph: (304) 553-6218 |
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