JONATHAN BRAXTON LONG LCSW-A
NPI 1053047753
Social Worker - Clinical in Concord, NC

Active since July 26, 2022
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025(980) 237-4766 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Braxton Long Lcsw-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN BRAXTON LONG LCSW-A (NPI 1053047753) is an individual clinical provider in Concord, North Carolina, licensed in North Carolina (P016657) and active in the NPI registry since July 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053047753
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJONATHAN BRAXTON LONGCredential: LCSW-A
Location Address280 EXECUTIVE PARK DR STE 100Concord, NC 28025-1838
Mailing Address4429 Iyar WayWake Forest, NC 27587-4167 · (252) 532-1320
Sole ProprietorYes
Enumeration DateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
NPI 1053047753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P016657
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
280 EXECUTIVE PARK DR STE 100, Concord, NC 28025

Secondary Practice Locations 2

Location 18362 Six Forks Rd Ste 104Raleigh, NC 27615-5086 · Phone (919) 709-7307
Location 24429 Iyar WayWake Forest, NC 27587-4167 · Phone (252) 532-1320

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Counselor (Mental Health)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Counselor (Mental Health)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Long's NPI number?

The NPI number for Jonathan Long is 1053047753. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Jonathan Long located?

Jonathan Long practices at 280 Executive Park Dr Ste 100, Concord, NC 28025. The listed phone number is (980) 237-4766.

What is Jonathan Long's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jonathan Long was last updated on July 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.