DR. JACK M. LONG & ASSOC., P.A.
NPI 1144599572
Social Worker - Clinical in Catonsville, MD

Active since December 13, 2011
720 MAIDEN CHOICE LN, SUITE C, CATONSVILLE, MD 21228(410) 744-5499(410) 455-0894 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jack M. Long & Assoc., P.a. NPPES

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

DR. JACK M. LONG & ASSOC., P.A. (NPI 1144599572) is a healthcare organization registered as a clinical in Catonsville, Maryland and active in the NPI registry since December 2011. The organization lists Jack Martin Long, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1144599572
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDR. JACK M. LONG & ASSOC., P.A.
Location Address720 MAIDEN CHOICE LN, SUITE CCatonsville, MD 21228-5940
Mailing Address720 Maiden Choice Ln, Suite CCatonsville, MD 21228-5940 · (410) 744-5499 · Fax (410) 455-0894
Fax(410) 455-0894
Organization SubpartNo
Authorized OfficialJack Martin LongPsychotherapist · (410) 744-5499
Enumeration DateDecember 13, 2011
NPI 1144599572 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 MD · 03068
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.

720 MAIDEN CHOICE LN, Catonsville, MD 21228

Other Identifiers 5

Other755011100MD · Mamsi
OtherR7610001MD · Bcbs Federal
Medicaid755011100MD
OtherQ292JMMD · Medicare Unspecified
OtherR7610001MD · Blue Choice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
720 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Community/Behavioral Health
720 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
Dentist
720 MAIDEN CHOICE LN
CATONSVILLE, MD 21228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144599572, enumerated as an "organization" on December 13, 2011.

The provider is located at 720 MAIDEN CHOICE LN SUITE C CATONSVILLE, MD 21228 and the phone number is (410) 744-5499.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.