Wanda Michelle Long, LCSW | |
259 E Oakdale Ave, Crestview, FL 32539-3547 | |
(850) 682-1234 | |
Not Available |
Full Name | Wanda Michelle Long |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 259 E Oakdale Ave, Crestview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730661935 | NPI | - | NPPES |
SW15311 | Other | FL | STATE OF FLORIDA DEPT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW15311 (Florida) | Primary |
Entity Name | W Michelle Long Lcsw Professional Limited Liability Company |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366121840 PECOS PAC ID: 2466803143 Enrollment ID: O20240106000285 |
Mailing Address | Practice Location Address |
---|---|
Wanda Michelle Long, LCSW 259 E Oakdale Ave, Crestview, FL 32539-3547 Ph: (850) 449-9566 | Wanda Michelle Long, LCSW 259 E Oakdale Ave, Crestview, FL 32539-3547 Ph: (850) 682-1234 |
Michelle Lou Milligan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 259 E Oakdale Ave, Crestview, FL 32539 Phone: 850-682-1234 | |
Pamela Pierce, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6135 Brickhill Ct, Crestview, FL 32536 Phone: 208-914-8161 | |
Lonelle Ordway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6137 Mockingbird Hill Ct, Crestview, FL 32539 Phone: 850-499-2999 | |
Alicia Weaver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4861 Leyland Ln, Crestview, FL 32536 Phone: 850-502-7603 | |
Jessica R Myers, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Lakeview Dr, Crestview, FL 32536 Phone: 850-368-3592 | |
Thomas Desvarney Tucker Iv, CSWRI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 438 Alonzo Dr, Crestview, FL 32536 Phone: 850-461-6480 | |
Brittany Karpati, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 Flounder St, Crestview, FL 32539 Phone: 219-201-9719 |