ELIZABETH VICTORIA LONG LCSW
NPI 1194372102
Social Worker - Clinical in Louisville, KY

Q: What is Elizabeth Long's NPI number?

The NPI number for Elizabeth Long is 1194372102. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Q: What is Elizabeth Long's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Long was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 23, 2019PECOS EnrolledAccepts Medicare Assignment

100 EXECUTIVE PARK STE 103, LOUISVILLE, KY 40207(502) 313-6880(502) 473-1334 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2023, Aug 8, 2022, Aug 23, 2019 (3 updates tracked since 2019).

On this page

About Elizabeth Victoria Long Lcsw NPPES

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

ELIZABETH VICTORIA LONG LCSW (NPI 1194372102) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (257161) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194372102

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELIZABETH VICTORIA LONGCredential: LCSW

Location Address100 EXECUTIVE PARK STE 103Louisville, KY 40207-4201

Mailing Address10100 Elida RdDelphos, OH 45833-9056 · (419) 695-8010 · Fax (419) 695-0004

Phone(502) 313-6880

Fax(502) 473-1334

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 23, 2019

Last NPPES UpdateMarch 27, 20233 updates tracked since enumeration

NPPES CertifiedMarch 27, 2023

✔ NPI 1194372102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in KY · 257161

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 254350 (KY)

100 EXECUTIVE PARK STE 103, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Victoria Long Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315311834

PECOS Enrollment IDI20230324001095

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DR. ZACHARY CLAYBORNE DIETRICH PSY.D.

Psychologist