Tina Long Spach, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Winston Salem, North Carolina. Her current practice location is
791 Jonestown Rd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 716-4551.
Tina Long Spach is licensed to practice in North Carolina (license number CO14780) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386206654.
Healthcare Provider's Profile
Full Name | Tina Long Spach |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 791 Jonestown Rd, Winston Salem, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tina Long Spach attended and graduated from in
NPI Data:
- NPI Number: 1386206654
- Provider Enumeration Date: 07/08/2019
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tina Long Spach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386206654 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25654 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | CO14780 (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. Tina Long Spach is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tina Long Spach, LCSW, LCAS 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 713-0947 | Tina Long Spach, LCSW, LCAS 791 Jonestown Rd, Winston Salem, NC 27103-1252 Ph: (336) 716-4551 |
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