| Emily Long, | |
|
322 2nd Ave, Sidney, OH 45365-1263 | |
| (937) 710-4616 | |
| Not Available |
| Full Name | Emily Long |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 322 2nd Ave, Sidney, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114403896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1.2103237 (Ohio) | Primary |
| 104100000X | Social Worker | S.1801903 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Personal Wellness, Llc | 6507202256 | 5 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
| Entity Name | Center For Personal Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437490877 PECOS PAC ID: 6507202256 Enrollment ID: O20240315002928 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Long, 551 Stonecastle Ct, Sidney, OH 45365-3610 Ph: (614) 530-3396 | Emily Long, 322 2nd Ave, Sidney, OH 45365-1263 Ph: (937) 710-4616 |
Dana Bobalik, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 N Vandemark Rd, Sidney, OH 45365 Phone: 937-622-7393 | |
Ms. Kelly Davis, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 211 N Main Ave, Sidney, OH 45365 Phone: 937-497-7239 Fax: 937-497-7238 | |
Kari Lyn Purtee, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2338 Aldrin Dr, Sidney, OH 45365 Phone: 973-902-2183 | |
Mary Jean Carpenter, LISW, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2338 Aldrin Dr, Sidney, OH 45365 Phone: 937-902-2183 Fax: 937-498-1052 | |
Tammie Prenger, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 N Vandemark Rd, Sidney, OH 45365 Phone: 937-710-4616 | |
Tasha Carpenter, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 128 N Main Ave, Sidney, OH 45365 Phone: 937-710-4616 Fax: 937-710-4732 |