KELLIE NICOLE LONG BSW
NPI 1073861779
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since August 28, 2012
3255 WING ST, SAN DIEGO, CA 92110(619) 221-8600(619) 221-8619 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Nicole Long Bsw NPPES

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

KELLIE NICOLE LONG BSW (NPI 1073861779) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1073861779
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLIE NICOLE LONGCredential: BSW
Location Address3255 WING STSan Diego, CA 92110-4638
Mailing Address3255 Wing StSan Diego, CA 92110-4638 · (619) 221-8600 · Fax (619) 221-8619
Fax(619) 221-8619
Sole ProprietorNo
Enumeration DateAugust 28, 2012
NPI 1073861779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3255 WING ST, San Diego, CA 92110

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.

Counselor (Addiction (Substance Use Disorder))
3255 WING ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3255 WING ST
SAN DIEGO, CA 92110
Counselor (Mental Health)
3255 WING ST, SUITE 500
SAN DIEGO, CA 92110
Counselor
3255 WING ST
SAN DIEGO, CA 92110
Social Worker (Clinical)
3255 WING ST
SAN DIEGO, CA 92110
Rehabilitation Practitioner
3255 WING ST
SAN DIEGO, CA 92110
Counselor (Mental Health)
3255 WING ST
SAN DIEGO, CA 92110
Rehabilitation Practitioner
3255 WING ST
SAN DIEGO, CA 92110

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 Kellie Long's NPI number?

The NPI number for Kellie Long is 1073861779. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Kellie Long located?

Kellie Long practices at 3255 Wing St, San Diego, CA 92110. The listed phone number is (619) 221-8600.

What is Kellie Long's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kellie Long was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.